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Cardiac Pacemaker Device Replacement (without MCC)

Rhode Island 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?

$30,200

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $22,909 to $47,863.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,200 · 10th to 90th $9,772 to $70,795
$10K$20K$50Kfacility $30,200

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$47,863.01
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$42,657.95
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,232.93
Typical High
$28,840.32

Where Rhode Island 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.

Rhode Island· 26th of 51

$30,200

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.