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New York rates for MS-DRG 243

Permanent Cardiac Pacemaker Implant With Cc

Facilitymedian $53,703 · 10th–90th $20,417–$87,0960%5%10%10th90th$53,703$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$16,982.44 / $45,708.82 / $89,125.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $66,069.34 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $58,884.37 / $77,624.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $53,703.18 / $131,825.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $47,863.01 / $81,283.05