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Cardiac Pacemaker Revision, Not Replacement (with MCC)

California rates for MS-DRG 260

Cardiac Pacemaker Revision Except Device Replacement with MCC

Rates data updated October 2026.

How much does Cardiac Pacemaker Revision, Not Replacement (with MCC) cost?

$53,703

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $53,703 for this service. Most negotiated rates run $38,019 to $69,183.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $53,703 · 10th to 90th $14,454 to $95,499
$1K$10K$100Kfacility $53,703

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$47,863.01
Typical High
$104,712.85
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$53,703.18
Typical High
$93,325.43
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$57,543.99
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$66,069.34
Typical High
$114,815.36
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$10,964.78
Typical High
$60,255.96
Providence
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$43,651.58
Typical High
$75,857.76
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$38,018.94
United
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$42,657.95
Typical High
$100,000.00

Where California sits

The same service costs 309.0 times more in New York than in Hawaii. 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· 19th of 51

$53,703

NY $85,114HI $275

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.