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California rates for MS-DRG 260

Cardiac pacemaker revision except device replacement w MCC

Facilitymedian $58,884 · 10th–90th $21,380–$109,6480%10%20%10th90th$58,884$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$14,454.40 / $50,118.72 / $93,325.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $63,095.73 / $117,489.76
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $52,480.75 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $61,659.50 / $104,712.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $30,902.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117,489.76 / $117,489.76 / $117,489.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $64,565.42 / $117,489.76
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $38,018.94 / $38,018.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $46,773.51 / $93,325.43