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Permanent Cardiac Pacemaker Implant with Major Complications

New York 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?

$83,176

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $83,176 for this service. Most negotiated rates run $53,703 to $104,713.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $83,176 · 10th to 90th $31,623 to $125,893
$20K$50K$100Kfacility $83,176

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
$25,118.86
Median
$66,069.34
Typical High
$125,892.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$104,712.85
Typical High
$131,825.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$89,125.09
Typical High
$114,815.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$77,624.71
Typical High
$158,489.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$66,069.34
Typical High
$109,647.82

Where New York 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.

New York· 2nd of 51

$83,176

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.