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Cardiac Pacemaker Device Replacement (with MCC)

California rates for MS-DRG 258

Cardiac Pacemaker Device Replacement with MCC

Rates data updated July 2026.

How much does Cardiac Pacemaker Device Replacement (with MCC) cost?

$67,608

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $28,840 to $75,858.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $67,608 · 10th to 90th $17,783 to $107,152
$500$2K$10K$50Kfacility $67,608

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
$8,709.64
Median
$52,480.75
Typical High
$93,325.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$72,443.60
Typical High
$114,815.36
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$45,708.82
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$57,543.99
Typical High
$100,000.00
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$26,302.68
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$112,201.85
Median
$112,201.85
Typical High
$112,201.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$64,565.42
Typical High
$112,201.85
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$42,657.95
Typical High
$91,201.08

Where California sits

The same service costs 3.8 times more in New York 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.

California· 7th of 51

$67,608

NY $81,283MI $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.