Cardiac Pacemaker Revision Except Device Replacement with Complications — what U.S. hospitals charge
MS-DRG 261 · Inpatient stay · 11 U.S. hospitals publish a price
Cheapest quarter
under $91,514
Typical charge
$110,889
Dearest quarter
over $133,616
Actually paid
$18,652
The middle U.S. hospital bills $110,889 for Cardiac Pacemaker Revision Except Device Replacement with Complications. The dearest hospitals charge about 2.6x what the cheapest do for the same coded work. Medicare actually paid about $18,652 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 Pacemaker Revision Except Device Replacement with Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| New York | 4 | $139,519 | $107,168 – $203,455 |
Where Cardiac Pacemaker Revision Except Device Replacement with Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Carolina East Medical Center
New Bern, NC |
$33,591 | $15,804 |
|
Southcoast Hospitals Group
Fall River, MA |
$57,024 | $15,405 |
|
Northern Light Eastern Maine Medical Center
Bangor, ME |
$79,382 | $14,218 |
|
Adventhealth Orlando
Orlando, FL |
$103,646 | $16,533 |
|
Ns/Lij Hs Southside Hospital
Bay Shore, NY |
$107,168 | $17,694 |
|
St Johns Hospital
Springfield, IL |
$110,889 | $16,882 |
|
Methodist Hospital
San Antonio, TX |
$114,163 | $14,242 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$128,997 | $23,771 |
|
Morristown Medical Center
Morristown, NJ |
$138,234 | $18,504 |
|
New York-Presbyterian Hospital
New York, NY |
$150,042 | $25,274 |
|
Nyu Langone Hospitals
New York, NY |
$203,455 | $26,851 |
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 |
$203,455 | $26,851 |
|
New York-Presbyterian Hospital
New York, NY |
$150,042 | $25,274 |
|
Morristown Medical Center
Morristown, NJ |
$138,234 | $18,504 |
|
Suny/Stony Brook University Hospital
Stony Brook, NY |
$128,997 | $23,771 |
|
Methodist Hospital
San Antonio, TX |
$114,163 | $14,242 |
|
St Johns Hospital
Springfield, IL |
$110,889 | $16,882 |
|
Ns/Lij Hs Southside Hospital
Bay Shore, NY |
$107,168 | $17,694 |
|
Adventhealth Orlando
Orlando, FL |
$103,646 | $16,533 |
|
Northern Light Eastern Maine Medical Center
Bangor, ME |
$79,382 | $14,218 |
|
Southcoast Hospitals Group
Fall River, MA |
$57,024 | $15,405 |
|
Carolina East Medical Center
New Bern, NC |
$33,591 | $15,804 |
Questions people ask
What do U.S. hospitals charge for Cardiac Pacemaker Revision Except Device Replacement with Complications?
Across 11 U.S. hospitals, the middle charge for Cardiac Pacemaker Revision Except Device Replacement with Complications is $110,889. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $91,514 and the dearest quarter over $133,616.
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 Pacemaker Revision Except Device Replacement with Complications, the hospitals in the dearest tenth charge about 2.6x 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. $18,652 is roughly what Medicare actually paid per case, against an average charge of $129,135. 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 261: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC”. 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.