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Texas rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Facilitymedian $42,658 · 10th–90th $20,893–$74,1310%10%10th90th$42,658$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$24,547.09 / $45,708.82 / $74,131.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $36,307.81 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $47,863.01 / $91,201.08
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $114,815.36
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $40,738.03 / $74,131.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $39,810.72 / $100,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $31,622.78 / $64,565.42