Copy link
Export CSV
Cite this view
HANK Price Transparency. (n.d.).
HC ICD DEVICE PROG EVAL,SNGL (OTHER 48000021) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved June 28, 2026 , from http://ppman.hank.ai/transparency/procedure/48000021/by-state?code_type=OTHER
“HC ICD DEVICE PROG EVAL,SNGL (OTHER 48000021) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/48000021/by-state?code_type=OTHER. Accessed
June 28, 2026 .
“HC ICD DEVICE PROG EVAL,SNGL (OTHER 48000021) by State,” HANK Price Transparency ,
accessed June 28, 2026 ,
http://ppman.hank.ai/transparency/procedure/48000021/by-state?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
Print / Save PDF
OTHER · across United States
48000021 — Hc Icd Device Prog Eval,sngl
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$105
National median
$63 – $2,798
IQR (p25 – p75)
13
hospitals filing
6
states
Walking in without insurance?
Cash / self-pay price
Cash median
$173
vs. negotiated
+64.1%
Hospitals reporting
12
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 48000021 (OTHER), with interquartile range
State Median p25 p75
PA $24,060 $17,711 $48,124
GA $2,069 $1,298 $2,561
MI $83 $15 $136
TX $73 $69 $78
LA $72 $34 $140
MS $38 $34 $60