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Cardiac Pacemaker Device Replacement (with MCC)

New York rates for MS-DRG 258

Cardiac Pacemaker Device Replacement with MCC

Rates data updated October 2026.

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

$81,283

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $58,884 to $104,713.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81,283 · 10th to 90th $39,811 to $123,027
$5K$10K$20K$50K$100K$200Kfacility $81,283

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$64,565.42
Typical High
$123,026.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$61,659.50
Median
$93,325.43
Typical High
$125,892.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$79,432.82
Typical High
$112,201.85
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$83,176.38
Typical High
$154,881.66
United
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$56,234.13
Typical High
$114,815.36

Where New York sits

The same service costs 295.1 times more in Vermont than in Hawaii. 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.

New York· 2nd of 51

$81,283

VT $81,283HI $275

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.