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Wisconsin rates for MS-DRG 242

Permanent cardiac pacemaker implant w MCC

Facilitymedian $57,544 · 10th–90th $32,359$83,1760%10%10th90th$57,544$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
$47,863.01 / $57,543.99 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $61,659.50 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $50,118.72 / $89,125.09
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $47,863.01 / $61,659.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $56,234.13 / $93,325.43
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $36,307.81 / $47,863.01
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $66,069.34 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $60,255.96 / $74,131.02