Leadless dual-chamber pacemaker programming check, inpatient

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC PM DEVICE PROGR EVAL -CARD DEVICE CHECK - DUAL CHAMBER LEADLESS PCMKR W/PROG

Payers reporting CPT 0804T

Payer pricing summary

Low

$20

Average

$275

Median

$136

High

$2.6k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +22 other terms	314	$40	$50	$27	54%	—	$1 – $255
2	UnitedHealthcare fee schedule · outpatient · +25 other terms	274	$38	$113	$313	279%	—	$1 – $1.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	252	$79	$220	$748	340%	—	$0 – $14.4k
4	Humana fee schedule · outpatient · +23 other terms	213	$37	$45	$26	58%	—	$1 – $181
5	Cigna fee schedule · outpatient · +21 other terms	127	$39	$54	$33	62%	—	$35 – $193
6	WellCare fee schedule · outpatient · +11 other terms	110	$38	$44	$14	32%	—	$35 – $87
7	Molina fee schedule · outpatient · +22 other terms	96	$43	$53	$26	50%	—	$1 – $237
8	Anthem fee schedule · outpatient · +20 other terms	72	$37	$75	$66	88%	—	$35 – $273
9	Kaiser fee schedule · outpatient · +13 other terms	64	$53	$70	$45	64%	—	$37 – $275
10	Devoted fee schedule · outpatient · +7 other terms	61	$37	$38	$2	5%	—	$35 – $42
11	Ambetter facility · fee schedule · outpatient · +12 other terms	46	$68	$71	$12	17%	—	$47 – $90
12	Optum fee schedule · outpatient · +14 other terms	33	$37	$51	$27	52%	—	$34 – $138
13	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$137	$144	$60	42%	—	$35 – $301
14	Clover fee schedule · outpatient · +5 other terms	31	$41	$40	$3	6%	—	$34 – $44
15	Medicare fee schedule · outpatient · +8 other terms	28	$37	$38	$1	3%	—	$37 – $42
16	Caresource facility · case rate · outpatient · +10 other terms	27	$32	$85	$104	123%	—	$14 – $303
17	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$47	$47	$9	20%	—	$36 – $62
18	MultiPlan fee schedule · outpatient · +12 other terms	21	$60	$100	$217	218%	—	$35 – $1.4k
19	Superior Healthplan facility · fee schedule · outpatient · +3 other terms	21	$39	$39	$1	2%	—	$37 – $39
20	Highmark fee schedule · outpatient · +14 other terms	18	$51	$53	$26	50%	—	$17 – $237
21	Regence fee schedule · outpatient · +13 other terms	18	$83	$92	$40	43%	—	$42 – $197
22	Oscar other · outpatient · +17 other terms	16	$60	$274	$846	309%	—	$49 – $3.5k
23	Tricare fee schedule · outpatient · +9 other terms	15	$36	$154	$168	110%	—	$34 – $392
24	Bcbs Mn fee schedule · outpatient · +3 other terms	13	$39	$49	$28	57%	—	$17 – $133
25	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$42	$88	$59	67%	—	$41 – $180

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