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Cardiac Pacemaker Device Replacement (without MCC)

Kentucky 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?

$26,303

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $19,498 to $29,512.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,303 · 10th to 90th $16,218 to $37,154
$20K$50Kfacility $26,303

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
$23,442.29
Median
$30,199.52
Typical High
$48,977.88
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$25,703.96
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$28,183.83
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,302.68
Typical High
$34,673.69

Where Kentucky 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.

Kentucky· 33rd of 51

$26,303

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.