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California rates for MS-DRG 261

Cardiac Pacemaker Revision Except Device Replacement With Cc

Facilitymedian $46,774 · 10th–90th $16,596$69,1830%10%20%10th90th$46,774$100.0$500.0$2.0K$10.0K$50.0K

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 / $39,810.72 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $58,884.37 / $69,183.10
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $39,810.72 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $39,810.72 / $72,443.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $17,378.01
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $67,608.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $44,668.36 / $75,857.76
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
$7,585.78 / $33,113.11 / $74,131.02