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Check Of An Implanted Heart-Assist Device

Wisconsin rates for HCPCS 0463T

An in-office check of an implanted device that helps a weakened heart pump. The clinician connects to the device, records how it has been working, disconnects, and issues a review and report. The device's settings are not changed as part of this service.

Rates data updated July 2026.

How much does Check Of An Implanted Heart-Assist Device cost?

$224

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $224 for this service. The price depends on where it is billed: about $224 from a physician practice, and about $115 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$224$107 to $234
FacilityA hospital or hospital-owned outpatient department$115$107 to $17,783

How much rates vary

Facilitymedian $115 · 10th to 90th $107 to $20,893Professionalmedian $224 · 10th to 90th $107 to $234
$100.0$500.0$2.0K$10.0Kfacility $115professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$114.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$223.87
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$114.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$234.42
Typical High
$234.42
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 1949.8 times more in Kentucky than in Idaho. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Wisconsin $224 · 28th of 38
KY $58,884ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.