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California rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Facilitymedian $67,608 · 10th–90th $23,442$107,1520%20%10th90th$67,608$100.0$500.0$2.0K$10.0K$50.0K$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
$14,791.08 / $51,286.14 / $89,125.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $72,443.60 / $114,815.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $45,708.82 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $58,884.37 / $100,000.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $26,302.68
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $112,201.85 / $112,201.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $64,565.42 / $112,201.85
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $45,708.82 / $91,201.08