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Cardiac Pacemaker Device Replacement (with MCC)

Pennsylvania 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?

$47,863

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $47,863 for this service. Most negotiated rates run $30,903 to $58,884.

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 $47,863 · 10th to 90th $24,547 to $70,795
$5K$10K$20K$50K$100Kfacility $47,863

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
$30,902.95
Median
$51,286.14
Typical High
$75,857.76
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$56,234.13
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$51,286.14
Typical High
$77,624.71
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$67,608.30
Geisinger
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$43,651.58
Typical High
$66,069.34
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$120,226.44
Median
$120,226.44
Typical High
$120,226.44
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$53,703.18
Typical High
$75,857.76
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$28,840.32
Typical High
$48,977.88
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$43,651.58
Typical High
$69,183.10

Where Pennsylvania 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.

Pennsylvania· 20th of 51

$47,863

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.