go back

California rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Facilitymedian $79,433 · 10th–90th $23,988–$154,8820%20%10th90th$79,433$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $50,118.72 / $141,253.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $102,329.30 / $154,881.66
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $54,954.09 / $154,881.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $61,659.50 / $134,896.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $17,378.01
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $114,815.36
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $64,565.42 / $154,881.66
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $93,325.43 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $50,118.72 / $112,201.85