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Texas rates for MS-DRG 260

Cardiac pacemaker revision except device replacement w MCC

Facilitymedian $35,481 · 10th–90th $20,417–$75,8580%10%10th90th$35,481$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
$23,442.29 / $33,884.42 / $75,857.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $35,481.34 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $45,708.82 / $91,201.08
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117,489.76 / $117,489.76 / $117,489.76
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $30,902.95 / $54,954.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $39,810.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $29,512.09 / $64,565.42