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.
Original text from hospital filings
HC PM DEVICE PROGR EVAL -CARD DEVICE CHECK - DUAL CHAMBER LEADLESS PCMKR W/PROG
Low
$35
Average
$964
Median
$37
High
$21.8k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
24 hospitals; the 90th percentile is 4.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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33 hospital rates
iThe hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 3 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 5 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 2 | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · other · both | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 7 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 8 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 9 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 10 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · inpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 11 | Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 12 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 13 | MercyOne Genesis Davenport Medical Center IA 52803; 2140 53rd Avenue Bettendorf, IA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 14 | MercyOne Genesis Davenport West Medical Center Davenport, IA facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 15 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 17 | Northwest Iowa Hospital Corporation Sioux City, IA case rate · outpatient | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 18 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 19 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 20 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 21 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · inpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 22 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI professional · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 23 | St Luke's Methodist Hospital Marion, IA case rate · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 24 | The Finley Hospital Dubuque, IA case rate · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
| 25 | Trinity Medical Center Rock Island, IL case rate · outpatient | 1 | $40 | $40 | — | — | — | $40 – $40 |
← Payers reporting CPT 0804T · Snapshot 20261113T090226Z-3ce6c0b8