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Illinois rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Facilitymedian $38,905 · 10th–90th $19,055–$58,8840%10%10th90th$38,905$100.0$500.0$2.0K$10.0K$50.0K

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
$26,915.35 / $40,738.03 / $63,095.73
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $35,481.34 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $36,307.81 / $64,565.42
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $407.38 / $645.65
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $37,153.52 / $57,543.99