Rmvl perm ccm-d sys pg only
Cardiac device pulse generator removal costs range from $1,954 at ambulatory surgery centers to $3,639 at hospital outpatient facilities, making it essential to verify your provider's exact charges before treatment.
About the analyst
Kevin Nyk analyzes hospital pricing data at BillRazor Research. He specializes in Medicare reimbursement patterns and chargemaster pricing across U.S. hospitals. Expertise: hospital pricing, Medicare rates, chargemaster analysis.
This procedure removes only the pulse generator component of a cardiac contractility modulation device, which helps patients with heart failure by delivering electrical impulses to improve heart muscle function. Patients typically need this removal due to device malfunction, infection, or battery depletion when replacing just the generator rather than the entire system. Code 0919T is a Category III CPT code, meaning reimbursement varies significantly between payers and may require prior authorization.
Non-facility rate
$99
Office setting benchmark
Data sources
4
23 data points
Key insights for CPT 0919T
ASC vs hospital outpatient savings
$1,685Having this done at an ambulatory surgery center costs $1,954 vs $3,639 at a hospital outpatient
What this procedure costs across different settings
The same procedure can cost very different amounts depending on where it's performed. These are the Medicare-allowed amounts — what hospitals actually charge can be 3-10x higher.
| Setting | Medicare rate | vs lowest |
|---|---|---|
| Non-facility (office) | $99 | Lowest |
| Outpatient (APC) | $3,639 | +3576% |
| Ambulatory surgery (ASC) | $1,954 | +1874% |
Got a bill with CPT 0919T?
Upload your bill and our AI compares every line item against these exact benchmark rates. Free analysis in 60 seconds — you only pay if we find savings.
About this data
Rates shown are from the 2026 Medicare Physician Fee Schedule, Hospital Outpatient Prospective Payment System (OPPS), Ambulatory Surgery Center Payment System, Clinical Laboratory Fee Schedule, Durable Medical Equipment Fee Schedule, and CMS Inpatient Prospective Payment System (DRG weights). Regional adjustments use CMS Geographic Practice Cost Indices (GPCI). Hospital charges are from CMS Hospital Price Transparency machine-readable files. All data is publicly available under federal law (45 CFR Part 180).
This data is for informational purposes only and does not constitute medical or financial advice. Actual costs depend on insurance coverage, negotiated rates, and individual circumstances.
Data: Medicare Physician Fee Schedule, CMS Inpatient PPS (IPPS), Outpatient PPS (OPPS), ASC Payment System, Clinical Lab Fee Schedule (CLFS), National Average Drug Acquisition Cost (NADAC). FY 2024 data. All publicly available from CMS.
Methodology: Facility rate applies when the procedure is performed in a hospital or ASC. Non-facility rate applies in a physician office. GPCI adjustments reflect regional cost-of-living differences.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use