Cardiac Pacemaker Revision Except Device Replacement with Major Complications — what U.S. hospitals charge
MS-DRG 260 · Inpatient stay · 10 U.S. hospitals publish a price
Cheapest quarter
under $178,554
Typical charge
$247,097
Dearest quarter
over $300,212
Actually paid
$43,264
The middle U.S. hospital bills $247,097 for Cardiac Pacemaker Revision Except Device Replacement with Major Complications. The dearest hospitals charge about 2.4x what the cheapest do for the same coded work. Medicare actually paid about $43,264 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 Major 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 | $218,619 | $167,683 – $309,691 |
Where Cardiac Pacemaker Revision Except Device Replacement with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Inova Fairfax Hospital
Falls Church, VA |
$82,395 | $30,341 |
|
Staten Island University Hospital
Staten Island, NY |
$167,683 | $38,303 |
|
Duke University Hospital
Durham, NC |
$169,397 | $50,168 |
|
North Shore University Hospital
Manhasset, NY |
$206,025 | $34,775 |
|
New York-Presbyterian Hospital
New York, NY |
$231,212 | $42,730 |
|
Cleveland Clinic
Cleveland, OH |
$262,982 | $66,282 |
|
Medstar Washington Hospital Center
Washington, DC |
$271,773 | $56,633 |
|
Nyu Langone Hospitals
New York, NY |
$309,691 | $50,252 |
|
Adventhealth Orlando
Orlando, FL |
$381,719 | $40,674 |
|
Cjw Medical Center
Richmond, VA |
$389,412 | $22,479 |
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 |
|---|---|---|
|
Cjw Medical Center
Richmond, VA |
$389,412 | $22,479 |
|
Adventhealth Orlando
Orlando, FL |
$381,719 | $40,674 |
|
Nyu Langone Hospitals
New York, NY |
$309,691 | $50,252 |
|
Medstar Washington Hospital Center
Washington, DC |
$271,773 | $56,633 |
|
Cleveland Clinic
Cleveland, OH |
$262,982 | $66,282 |
|
New York-Presbyterian Hospital
New York, NY |
$231,212 | $42,730 |
|
North Shore University Hospital
Manhasset, NY |
$206,025 | $34,775 |
|
Duke University Hospital
Durham, NC |
$169,397 | $50,168 |
|
Staten Island University Hospital
Staten Island, NY |
$167,683 | $38,303 |
|
Inova Fairfax Hospital
Falls Church, VA |
$82,395 | $30,341 |
Questions people ask
What do U.S. hospitals charge for Cardiac Pacemaker Revision Except Device Replacement with Major Complications?
Across 10 U.S. hospitals, the middle charge for Cardiac Pacemaker Revision Except Device Replacement with Major Complications is $247,097. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $178,554 and the dearest quarter over $300,212.
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 Major Complications, the hospitals in the dearest tenth charge about 2.4x 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. $43,264 is roughly what Medicare actually paid per case, against an average charge of $260,529. 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 260: “CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC”. 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.