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Package

ICD replacement - 3+ leads

Package

ICD replacement - 3+ leads

ICD replacement with 3 or more leads involves replacing the generator of an existing implantable cardioverter-defibrillator along with three or more leads, the wires connecting the device to your heart. This more complex configuration is typically used in patients with advanced heart failure or conditions requiring coordinated pacing of multiple heart chambers. The procedure is performed under sedation and may require a short hospital stay given the added complexity. Your care team will monitor you closely and fine-tune device settings during recovery.
You'd pay up to
$122,550 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$122,550

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$685
Highest
$173,956
Cash price
up to $122,550

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 replacement - 3+ leads Standard Service Package (SSP CA004). 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 J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS C1882 Facility Fee Implantable Multi-chamber Cardioverter-defibrillator
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 33264 Professional Fee Replacement of Multiple-lead Implantable Defibrillator Pulse Generator
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS 33264 Facility Fee Replacement of Multiple-lead Implantable Defibrillator Pulse Generator

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

You'd pay up to
$122,550 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Hawaii Health Systems Corporation is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.

In compliance with federal law, we provide a list of standard charges that are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient's unique needs.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service ICD replacement - 3+ leads
Service Codes HCPCS J3010, HCPCS C1882, HCPCS 80048, HCPCS J0690, HCPCS 33264
Insurance I'm not using insurance
Location Hilo Benioff Medical Center Main
When you contact us, you can say:
"Hi, I'm calling to verify a price for ICD replacement - 3+ leads I found through Hilo Benioff Medical Center Main's price estimate tool. Here are the codes I’m looking at: HCPCS J3010, HCPCS C1882, HCPCS 80048, HCPCS J0690, HCPCS 33264. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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