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California rates for MS-DRG 259

Cardiac Pacemaker Device Replacement Without Mcc

Facilitymedian $50,119 · 10th–90th $17,783–$75,8580%20%10th90th$50,119$100.0$500.0$2.0K$10.0K$50.0K

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
$14,791.08 / $40,738.03 / $83,176.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $67,608.30 / $74,131.02
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $38,018.94 / $81,283.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $41,686.94 / $83,176.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $17,378.01
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $74,131.02
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $45,708.82 / $85,113.80
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $43,651.58 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $36,307.81 / $79,432.82