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Permanent Cardiac Pacemaker Implant with Major Complications

California rates for MS-DRG 242

Permanent Cardiac Pacemaker Implant with MCC

Rates data updated July 2026.

How much does Permanent Cardiac Pacemaker Implant with Major Complications cost?

$79,433

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $28,840 to $144,544.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79,433 · 10th to 90th $20,417 to $154,882
$500$2K$10K$50Kfacility $79,433

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$51,286.14
Typical High
$141,253.75
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$102,329.30
Typical High
$154,881.66
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$53,703.18
Typical High
$154,881.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$60,255.96
Typical High
$134,896.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$208.93
Typical High
$17,378.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$114,815.36
Median
$114,815.36
Typical High
$114,815.36
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$67,608.30
Typical High
$162,181.01
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$93,325.43
Typical High
$93,325.43
United
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$50,118.72
Typical High
$109,647.82

Where California sits

The same service costs 3.9 times more in Alaska than in Michigan. 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· 3rd of 51

$79,433

AK $83,176MI $21,380

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.