7020042_1 — Revision (pocket Rev) Or Removal Of Implantable Pulse Generator
Cite this view
HANK Price Transparency. (n.d.). REVISION (POCKET REV) OR REMOVAL OF IMPLANTABLE PULSE GENERATOR (CDM 7020042_1) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/7020042_1?code_type=CDM
“REVISION (POCKET REV) OR REMOVAL OF IMPLANTABLE PULSE GENERATOR (CDM 7020042_1) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/7020042_1?code_type=CDM. Accessed .
“REVISION (POCKET REV) OR REMOVAL OF IMPLANTABLE PULSE GENERATOR (CDM 7020042_1) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/7020042_1?code_type=CDM.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,469–$4,990 (25th–75th percentile) across 1 hospital · 14 payers.
“Negotiated” is the hospital’s negotiated facility rate for this CDM 7020042_1 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TETON VALLEY HOSPITAL Outpatient | UHC MEDICARE ADVANTAGE | UHC MEDICARE ADVANTAGE | $2,416.29 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | TRIWEST-ALL PLANS | TRIWEST-ALL PLANS | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | AETNA MEDICARE | AETNA MEDICARE | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | SELECT HEALTH MEDICARE ADVANTAGE | SELECT HEALTH MEDICARE ADVANTAGE | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | REGENCE BLUE SHIELD MEDICARE ADVANTAGE | REGENCE BLUE SHIELD MEDICARE ADVANTAGE | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | PRIME HEALTH SERVICES-ALL OTHER PLANS | PRIME HEALTH SERVICES-ALL OTHER PLANS | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | PRIME HEALTH MEDICARE ADVANTAGE | PRIME HEALTH MEDICARE ADVANTAGE | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | HUMANA-ALL PLANS | HUMANA-ALL PLANS | $2,468.82 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | BLUE CROSS MCR ADV | BLUE CROSS MCR ADV | $2,493.50 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | FIRST CHOICE-ALL PLANS | FIRST CHOICE-ALL PLANS | $4,727.52 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | MODA-ALL PLANS | MODA-ALL PLANS | $4,727.52 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | BLUE CROSS QHP | BLUE CROSS QHP | $4,840.46 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | AETNA-ALL OTHER PLANS | AETNA-ALL OTHER PLANS | $4,885.10 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | CIGNA OAP | CIGNA OAP | $4,990.16 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | ST LUKES BRIGHTPATH-ALL PLANS | ST LUKES BRIGHTPATH-ALL PLANS | $4,990.16 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | UHC ALL PAYER-ALL OTHER PLANS | UHC ALL PAYER-ALL OTHER PLANS | $4,990.16 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | CIGNA PPO-ALL OTHER PLANS | CIGNA PPO-ALL OTHER PLANS | $4,990.16 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | SELECT HEALTH-ALL OTHER PLANS | SELECT HEALTH-ALL OTHER PLANS | $4,990.16 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | BLUE CROSS TRAD/PPO/POS-ALL OTHER PLANS | BLUE CROSS TRAD/PPO/POS-ALL OTHER PLANS | $5,095.22 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |
| TETON VALLEY HOSPITAL Outpatient | REGENCE BLUE SHIELD-ALL OTHER PLANS | REGENCE BLUE SHIELD-ALL OTHER PLANS | $5,147.74 | $5,252.80 | $4,202.24 | 2026-04-16 | MRF ↗ |