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Pennsylvania rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Facilitymedian $51,286 · 10th–90th $25,704–$74,1310%10%10th90th$51,286$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$29,512.09 / $51,286.14 / $74,131.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $56,234.13 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $47,863.01 / $70,794.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $67,608.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $51,286.14 / $63,095.73
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $50,118.72 / $74,131.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $22,387.21 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $38,904.51 / $74,131.02