Permanent Cardiac Pacemaker Implant with Complications — what U.S. hospitals charge
MS-DRG 243 · Inpatient stay · 681 U.S. hospitals publish a price
Cheapest quarter
under $72,415
Typical charge
$93,685
Dearest quarter
over $126,928
Actually paid
$20,231
The middle U.S. hospital bills $93,685 for Permanent Cardiac Pacemaker Implant with Complications. The dearest hospitals charge about 3.2x what the cheapest do for the same coded work. Medicare actually paid about $20,231 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.
Permanent Cardiac Pacemaker Implant 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 |
|---|---|---|---|
| Maryland | 16 | $30,694 | $21,986 – $42,029 |
| Arkansas | 10 | $59,384 | $40,732 – $73,032 |
| Massachusetts | 18 | $59,894 | $36,671 – $165,904 |
| Montana | 5 | $62,956 | $42,317 – $83,888 |
| Idaho | 5 | $63,640 | $61,801 – $199,247 |
| Nebraska | 5 | $64,862 | $39,000 – $101,895 |
| Iowa | 9 | $65,311 | $40,794 – $91,909 |
| Rhode Island | 3 | $68,576 | $50,146 – $84,379 |
| Michigan | 20 | $70,494 | $51,937 – $108,620 |
| Wisconsin | 10 | $72,807 | $48,433 – $103,213 |
| Mississippi | 8 | $73,058 | $51,540 – $137,194 |
| Connecticut | 7 | $73,340 | $60,309 – $104,868 |
| Utah | 6 | $73,772 | $49,444 – $223,098 |
| Missouri | 15 | $78,100 | $52,574 – $295,181 |
| Delaware | 3 | $78,555 | $76,769 – $85,512 |
| Ohio | 28 | $78,747 | $60,887 – $148,592 |
| Washington | 15 | $79,118 | $55,491 – $118,369 |
| Alabama | 7 | $79,296 | $45,554 – $248,971 |
| Minnesota | 13 | $80,557 | $52,275 – $112,766 |
| Oregon | 7 | $82,151 | $63,186 – $97,672 |
| Virginia | 23 | $82,300 | $58,624 – $279,378 |
| South Dakota | 3 | $83,384 | $77,633 – $97,480 |
| Oklahoma | 8 | $85,088 | $63,740 – $147,090 |
| North Carolina | 19 | $85,806 | $55,013 – $137,099 |
| West Virginia | 7 | $88,311 | $66,731 – $107,295 |
| Illinois | 28 | $88,632 | $50,642 – $134,650 |
| Kentucky | 9 | $89,651 | $61,555 – $230,609 |
| Louisiana | 9 | $92,444 | $77,332 – $213,409 |
| Kansas | 8 | $93,456 | $63,032 – $222,935 |
| Tennessee | 15 | $93,857 | $37,209 – $230,043 |
| Indiana | 16 | $94,700 | $55,095 – $206,173 |
| New Hampshire | 6 | $99,985 | $69,554 – $172,605 |
| Pennsylvania | 34 | $100,829 | $50,460 – $365,252 |
| Arizona | 16 | $108,336 | $72,671 – $175,325 |
| South Carolina | 15 | $108,416 | $56,033 – $344,226 |
| New York | 32 | $110,346 | $47,031 – $260,844 |
| Georgia | 19 | $116,440 | $47,170 – $158,771 |
| Florida | 60 | $123,976 | $57,044 – $358,296 |
| Texas | 51 | $125,090 | $55,555 – $323,516 |
| New Jersey | 20 | $125,994 | $74,965 – $261,671 |
| Colorado | 6 | $138,525 | $78,355 – $193,456 |
| California | 50 | $141,533 | $71,273 – $443,875 |
| Nevada | 6 | $227,827 | $81,701 – $372,470 |
Where Permanent Cardiac Pacemaker Implant 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$21,986 | $21,201 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$22,919 | $20,367 |
|
Suburban Hospital
Bethesda, MD |
$24,117 | $21,488 |
|
Meritus Medical Center
Hagerstown, MD |
$26,872 | $24,539 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$27,802 | $26,031 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$28,523 | $25,865 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$29,299 | $26,269 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$30,636 | $27,054 |
|
Medstar Southern Maryland Hospital Center
Clinton, MD |
$30,752 | $29,934 |
|
University Of Md Shore Medical Center At Easton
Easton, MD |
$31,159 | $27,871 |
|
Western Maryland Regional Medical Center
Cumberland, MD |
$32,398 | $28,876 |
|
Carroll Hospital Center
Westminster, MD |
$34,642 | $30,487 |
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 |
|---|---|---|
|
Good Samaritan Hospital
San Jose, CA |
$443,875 | $24,985 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$379,368 | $29,619 |
|
Summerlin Hospital Medical Center
Las Vegas, NV |
$372,470 | $19,878 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$365,252 | $33,182 |
|
Physicians Regional Medical Center - Pine Ridge
Naples, FL |
$358,296 | $16,256 |
|
Mountainview Hospital
Las Vegas, NV |
$354,410 | $23,720 |
|
Trident Medical Center
Charleston, SC |
$344,226 | $19,807 |
|
Medical City Denton
Denton, TX |
$323,516 | $20,581 |
|
Delray Medical Center
Delray Beach, FL |
$320,450 | $14,479 |
|
Stanford Health Care
Stanford, CA |
$318,380 | $38,200 |
|
Emanuel Medical Center
Turlock, CA |
$318,294 | $23,335 |
|
St David's Medical Center
Austin, TX |
$303,023 | $16,235 |
Questions people ask
What do U.S. hospitals charge for Permanent Cardiac Pacemaker Implant with Complications?
Across 681 U.S. hospitals, the middle charge for Permanent Cardiac Pacemaker Implant with Complications is $93,685. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $72,415 and the dearest quarter over $126,928.
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 Permanent Cardiac Pacemaker Implant with Complications, the hospitals in the dearest tenth charge about 3.2x 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. $20,231 is roughly what Medicare actually paid per case, against an average charge of $109,447. 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 243: “PERMANENT CARDIAC PACEMAKER IMPLANT 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.