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Check Of A Wireless Heart Pacing System

Pennsylvania rates for HCPCS 0521T

An in-office check of an implanted wireless system that paces the heart's main pumping chamber. The clinician connects to the device, records how it has been working, disconnects, and issues a review and report.

Rates data updated October 2026.

How much does Check Of A Wireless Heart Pacing System cost?

$42.66

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $42.66 for this service. The price depends on where it is billed: about $42.66 from a physician practice, and about $64.57 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$42.66$36.31 to $46.77
FacilityA hospital or hospital-owned outpatient department$64.57$42.66 to $85.11

How much rates vary

Facilitymedian $65 · 10th to 90th $40 to $93Professionalmedian $43 · 10th to 90th $36 to $59
$50$100facility $65professional $43

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
Facility
Modifier
None
Typical Low
$36.31
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
None (both parts)
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
Aetna
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$18.20
Typical High
$20.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.20
Median
$18.20
Typical High
$21.38
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.24
Median
$7.24
Typical High
$8.51
Aetna
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$17.78
Typical High
$22.39
Cigna
Setting
Facility
Modifier
None
Typical Low
$29.51
Median
$64.57
Typical High
$77.62
Cigna
Setting
Professional
Modifier
None (both parts)
Typical Low
$61.66
Median
$67.61
Typical High
$257.04
Emblem Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$64.57
Median
$83.18
Typical High
$93.33
Geisinger
Setting
Professional
Modifier
None (both parts)
Typical Low
$74.13
Median
$74.13
Typical High
$75.86
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Martin's Point
Setting
Professional
Modifier
None (both parts)
Typical Low
$36.31
Median
$36.31
Typical High
$42.66
Martin's Point
Setting
Professional
Modifier
26 · Professional part
Typical Low
$18.20
Median
$18.20
Typical High
$20.89
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$18.20
Median
$18.20
Typical High
$21.38
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$7.24
Median
$7.24
Typical High
$8.51
Martin's Point
Setting
Professional
Modifier
TC · Technical part
Typical Low
$17.78
Median
$17.78
Typical High
$22.39
Oscar Health
Setting
Professional
Modifier
None (both parts)
Typical Low
$63.10
Median
$63.10
Typical High
$63.10
UPMC Health Plan
Setting
Professional
Modifier
None (both parts)
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
None
Typical Low
$39.81
Median
$85.11
Typical High
$97.72
United
Setting
Professional
Modifier
None (both parts)
Typical Low
$41.69
Median
$53.70
Typical High
$79.43
United
Setting
Professional
Modifier
26 · Professional part
Typical Low
$19.05
Median
$26.30
Typical High
$38.90
United
Setting
Professional
Modifier
TC · Technical part
Typical Low
$20.89
Median
$26.92
Typical High
$41.69

Where Pennsylvania sits

The same service costs 4.2 times more in Nebraska than in Arkansas. 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.

Pennsylvania· 47th of 51

$42.66

NE $105AR $25.12

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.