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Wireless Left Ventricle Pacing Implant

Illinois rates for HCPCS 0516T

Implants part of a wireless pacing system for the left lower chamber of the heart. A small receiver sits in the heart wall and is powered by a separate unit under the skin, so no wire has to run into that chamber; the system is used to get the two sides of the heart beating in step in people with heart failure.

Rates data updated July 2026.

How much does Wireless Left Ventricle Pacing Implant cost?

$1,023

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1,023 for this service. The price depends on where it is billed: about $380 from a physician practice, and about $3,715 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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$380$363 to $513
FacilityA hospital or hospital-owned outpatient department$3,715$1,622 to $6,607

How much rates vary

Facilitymedian $3,715 · 10th to 90th $871 to $11,220Professionalmedian $380 · 10th to 90th $251 to $2,089
$500$1K$2K$5K$10K$20Kfacility $3,715professional $380

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$3,235.94
Typical High
$9,772.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$371.54
Typical High
$3,235.94
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$18,197.01
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$588.84
Typical High
$831.76
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$575.44
United
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$9,332.54
Typical High
$24,547.09
United
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$489.78
Typical High
$707.95

Where Illinois sits

The same service costs 40.7 times more in California than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 17th of 51

$1,023

CA $8,913ND $219

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.