Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator — what U.S. hospitals charge
MS-DRG 276 · Inpatient stay · 41 U.S. hospitals publish a price
Cheapest quarter
under $204,091
Typical charge
$246,180
Dearest quarter
over $408,467
Actually paid
$65,760
The middle U.S. hospital bills $246,180 for Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator. The dearest hospitals charge about 3.5x what the cheapest do for the same coded work. Medicare actually paid about $65,760 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Virginia | 3 | $223,467 | $204,091 – $224,378 |
| Ohio | 3 | $234,457 | $169,156 – $364,425 |
| Georgia | 3 | $237,776 | $189,434 – $318,294 |
| Florida | 7 | $348,576 | $196,455 – $598,132 |
| New Jersey | 4 | $365,154 | $295,396 – $526,879 |
| New York | 5 | $408,467 | $160,583 – $658,465 |
| Texas | 3 | $595,887 | $237,624 – $623,438 |
Where Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Medstar Union Memorial Hospital
Baltimore, MD |
$76,045 | $67,083 |
|
Ecu Health Medical Center
Greenville, NC |
$134,052 | $46,848 |
|
Yale-New Haven Hospital
New Haven, CT |
$157,428 | $79,678 |
|
Spectrum Health
Grand Rapids, MI |
$157,525 | $63,759 |
|
Kaleida Health
Buffalo, NY |
$160,583 | $64,029 |
|
Riverside Methodist Hospital
Columbus, OH |
$169,156 | $65,315 |
|
Beth Israel Deaconess Medical Center
Boston, MA |
$178,820 | $93,751 |
|
Johns Hopkins Hospital, The
Baltimore, MD |
$179,853 | $156,967 |
|
Atrium Health Navicent The Medical Center
Macon, GA |
$189,434 | $48,483 |
|
Mount Sinai Medical Center Of Florida, Inc
Miami Beach, FL |
$196,455 | $51,093 |
|
Inova Fairfax Hospital
Falls Church, VA |
$204,091 | $72,460 |
|
Abbott Northwestern Hospital
Minneapolis, MN |
$217,952 | $64,192 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Nyu Langone Hospitals
New York, NY |
$658,465 | $89,981 |
|
Baptist Medical Center
San Antonio, TX |
$623,438 | $40,059 |
|
Hca Florida Jfk Hospital
Atlantis, FL |
$598,132 | $43,047 |
|
Houston Methodist Hospital
Houston, TX |
$595,887 | $72,039 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$569,213 | $82,264 |
|
Deborah Heart And Lung Center
Browns Mills, NJ |
$526,879 | $73,538 |
|
Adventhealth Orlando
Orlando, FL |
$511,592 | $56,011 |
|
Orlando Health
Orlando, FL |
$467,266 | $42,663 |
|
New York-Presbyterian Hospital
New York, NY |
$460,361 | $86,419 |
|
Cooper University Hospital
Camden, NJ |
$421,775 | $68,504 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$408,467 | $75,014 |
|
St Francis Hospital - The Heart Center
Roslyn, NY |
$373,945 | $60,274 |
Questions people ask
What do U.S. hospitals charge for Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator?
Across 41 U.S. hospitals, the middle charge for Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator is $246,180. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $204,091 and the dearest quarter over $408,467.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Cardiac Defibrillator Implant with Major Complications or Carotid Sinus Neurostimulator, the hospitals in the dearest tenth charge about 3.5x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $65,760 is roughly what Medicare actually paid per case, against an average charge of $322,586. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 276: “CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.