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Defibrillator Implant, Cath, AMI/HF/Shock (without MCC)

California rates for MS-DRG 223

Cardiac Defibrillator Implant with Cardiac Catheterization with Acute Myocardial Infarction, Heart Failure or Shock without MCC

Rates data updated October 2026.

How much does Defibrillator Implant, Cath, AMI/HF/Shock (without MCC) cost?

$204,174

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $204,174 for this service. Most negotiated rates run $63,096 to $208,930.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $204,174 · 10th to 90th $42,658 to $208,930
$100$1K$10K$100Kfacility $204,174

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$72,443.60
Typical High
$181,970.09
Providence
Setting
Facility
Modifier
None
Typical Low
$100,000.00
Median
$100,000.00
Typical High
$125,892.54
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$208,929.61
Median
$208,929.61
Typical High
$208,929.61
United
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$52,480.75
Typical High
$85,113.80

Where California sits

The same service costs 47.9 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 1st of 36

$204,174

CA $204,174WV $4,266

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.