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Cardiac Pacemaker Device Replacement (without MCC)

Ohio 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?

$28,840

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $23,442 to $36,308.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $18,197 to $43,652
$20K$50Kfacility $28,840

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
$33,113.11
Typical High
$51,286.14
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$24,547.09
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$45,708.82
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$26,302.68
Typical High
$46,773.51
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$15,848.93
Typical High
$39,810.72
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$28,840.32
Typical High
$44,668.36

Where Ohio 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.

Ohio· 30th of 51

$28,840

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.