ICD insertion
What goes into a price?
Negotiated prices across insurers
Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.
Procedures included in this package
This list includes the services and fees bundled into the ICD insertion Standard Service Package (SSP CA000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.
| Code | Code Type | Description |
|---|---|---|
| HCPCS C1894 | Facility Fee | Insertion of Non-intracardiac Diagnostic/Therapeutic Device/Sheath |
| HCPCS 71045 | Facility Fee | X-ray of chest for viewing single structure |
| HCPCS J3010 | Facility Fee | Intramuscular injection of fentanyl citrate, 0.1mg |
| HCPCS C1898 | Facility Fee | Implantation of Non-transvenous Pacemaker Lead |
| HCPCS 85025 | Facility Fee | Complete blood count (CBC) with differential WBC |
| HCPCS 80048 | Facility Fee | Basic metabolic panel including calcium, bicarbonate, chloride, creatinine, glucose, potassium, sodium and BUN |
| HCPCS J0690 | Facility Fee | Intramuscular injection cefazolin sodium, 500mg |
| HCPCS J2250 | Facility Fee | Intramuscular injection of 1mg midazolam hydrochloride |
| HCPCS C1777 | Facility Fee | Inplantation of Lead and Single Coil Cardioverter-defibrillator |
| HCPCS 33249 | Professional Fee | Implantation of Permanent Pacemaker/Defibrillator with Lead(s) |
| HCPCS 33249 | Facility Fee | Implantation of Permanent Pacemaker/Defibrillator with Lead(s) |