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Cardiac Pacemaker Device Replacement (without MCC)

California rates for MS-DRG 259

Cardiac Pacemaker Device Replacement without MCC

Rates data updated July 2026.

How much does Cardiac Pacemaker Device Replacement (without MCC) cost?

$50,119

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $28,184 to $72,444.

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 $50,119 · 10th to 90th $16,982 to $74,131
$500$2K$10K$50Kfacility $50,119

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
$40,738.03
Typical High
$75,857.76
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$67,608.30
Typical High
$74,131.02
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$30,199.52
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$41,686.94
Typical High
$83,176.38
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$17,378.01
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$74,131.02
Typical High
$74,131.02
Providence
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$45,708.82
Typical High
$85,113.80
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
$35,481.34
Typical High
$79,432.82

Where California sits

The same service costs 4.3 times more in Montana than in New Mexico. 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· 4th of 51

$50,119

MT $69,183NM $16,218

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.