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Pennsylvania rates for MS-DRG 260

Cardiac pacemaker revision except device replacement w MCC

Facilitymedian $53,703 · 10th–90th $29,512–$79,4330%10%10th90th$53,703$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$30,199.52 / $53,703.18 / $79,432.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $69,183.10 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $48,977.88 / $72,443.60
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $69,183.10
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $53,703.18 / $64,565.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $66,069.34 / $102,329.30
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $53,703.18 / $77,624.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $32,359.37 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $39,810.72 / $75,857.76