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Texas rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Facilitymedian $33,113 · 10th–90th $18,621–$72,4440%10%10th90th$33,113$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
$21,877.62 / $34,673.69 / $72,443.60
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $30,902.95 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $42,657.95 / $87,096.36
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $112,201.85 / $112,201.85
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $30,902.95 / $53,703.18
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $38,018.94 / $95,499.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $28,840.32 / $63,095.73