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Wireless Left Ventricle Pacing Implant

Montana 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 October 2026.

How much does Wireless Left Ventricle Pacing Implant cost?

$692

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $692 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $813 from a hospital or other facility.

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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$575$513 to $692
FacilityA hospital or hospital-owned outpatient department$813$759 to $5,623

How much rates vary

Facilitymedian $813 · 10th to 90th $692 to $12,303Professionalmedian $575 · 10th to 90th $479 to $794
$100$500$2K$10Kfacility $813professional $575

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$371.54
Median
$371.54
Typical High
$436.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$12,302.69
Typical High
$23,442.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$501.19
Median
$758.58
Typical High
$870.96
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$478.63
Typical High
$794.33
Providence
Setting
Facility
Modifier
None
Typical Low
$691.83
Median
$12,302.69
Typical High
$23,442.29
Providence
Setting
Professional
Modifier
None
Typical Low
$616.60
Median
$691.83
Typical High
$691.83
United
Setting
Facility
Modifier
None
Typical Low
$3,388.44
Median
$5,623.41
Typical High
$25,118.86
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$537.03
Typical High
$851.14

Where Montana sits

The same service costs 16.2 times more in Arkansas than in West Virginia. 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.

Montana· 34th of 51

$692

AR $6,918WV $427

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.