Permanent Cardiac Pacemaker Implant with Major Complications — what U.S. hospitals charge
MS-DRG 242 · Inpatient stay · 513 U.S. hospitals publish a price
Cheapest quarter
under $103,396
Typical charge
$138,654
Dearest quarter
over $189,998
Actually paid
$30,345
The middle U.S. hospital bills $138,654 for Permanent Cardiac Pacemaker Implant with Major Complications. The dearest hospitals charge about 3.3x what the cheapest do for the same coded work. Medicare actually paid about $30,345 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 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 |
|---|---|---|---|
| Maryland | 10 | $40,466 | $32,181 – $79,735 |
| Nebraska | 3 | $74,434 | $68,637 – $108,446 |
| Arkansas | 5 | $76,617 | $60,675 – $102,077 |
| North Dakota | 4 | $78,782 | $62,646 – $114,637 |
| Wisconsin | 5 | $87,495 | $67,694 – $172,971 |
| Massachusetts | 17 | $95,944 | $50,570 – $237,388 |
| New Mexico | 3 | $97,942 | $96,490 – $173,537 |
| Delaware | 3 | $102,118 | $90,557 – $126,130 |
| Oklahoma | 7 | $103,092 | $87,923 – $190,308 |
| Louisiana | 4 | $104,082 | $93,531 – $129,570 |
| Iowa | 7 | $104,662 | $53,679 – $134,965 |
| Mississippi | 4 | $106,337 | $76,074 – $180,476 |
| Oregon | 5 | $106,690 | $86,491 – $155,048 |
| Tennessee | 13 | $107,534 | $47,613 – $289,719 |
| North Carolina | 13 | $111,847 | $71,128 – $212,176 |
| Missouri | 11 | $112,109 | $74,530 – $148,102 |
| Michigan | 14 | $113,019 | $91,717 – $161,944 |
| Ohio | 20 | $114,042 | $65,280 – $386,289 |
| Alabama | 4 | $121,281 | $110,775 – $407,607 |
| Connecticut | 3 | $121,895 | $112,087 – $144,019 |
| Minnesota | 10 | $123,517 | $95,704 – $160,771 |
| Washington | 13 | $123,593 | $74,768 – $186,208 |
| South Dakota | 3 | $124,874 | $116,085 – $135,215 |
| Indiana | 14 | $124,889 | $76,951 – $203,443 |
| Kentucky | 8 | $126,768 | $107,033 – $268,434 |
| Virginia | 16 | $132,803 | $75,698 – $456,857 |
| West Virginia | 4 | $132,835 | $123,719 – $149,497 |
| Illinois | 20 | $133,935 | $56,968 – $166,079 |
| Kansas | 8 | $134,998 | $70,163 – $342,766 |
| Utah | 5 | $136,662 | $88,715 – $284,843 |
| Pennsylvania | 25 | $148,687 | $89,289 – $537,869 |
| Arizona | 11 | $155,685 | $100,943 – $236,438 |
| Colorado | 4 | $156,740 | $106,296 – $449,850 |
| Florida | 46 | $164,734 | $87,303 – $406,527 |
| Georgia | 12 | $171,882 | $111,962 – $251,818 |
| New York | 24 | $176,540 | $59,991 – $341,466 |
| South Carolina | 10 | $178,214 | $99,394 – $391,373 |
| Texas | 41 | $191,227 | $78,759 – $447,153 |
| New Jersey | 18 | $193,498 | $93,263 – $305,112 |
| California | 45 | $214,783 | $100,979 – $604,269 |
| Nevada | 5 | $239,484 | $109,234 – $448,555 |
Where Permanent Cardiac Pacemaker Implant 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 |
|---|---|---|
|
Luminis Health Anne Arundel Medical Center, Inc
Annapolis, MD |
$32,181 | $29,765 |
|
University Of Md St Joseph Medical Center
Towson, MD |
$34,051 | $30,438 |
|
Suburban Hospital
Bethesda, MD |
$37,364 | $32,573 |
|
Medstar Southern Maryland Hospital Center
Clinton, MD |
$39,015 | $37,506 |
|
Johns Hopkins Howard County Medical Center
Columbia, MD |
$40,401 | $37,059 |
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$40,532 | $36,285 |
|
Medstar Union Memorial Hospital
Baltimore, MD |
$42,408 | $37,435 |
|
Meritus Medical Center
Hagerstown, MD |
$45,543 | $42,637 |
|
Cookeville Regional Medical Center
Cookeville, TN |
$47,613 | $23,386 |
|
Baystate Medical Center
Springfield, MA |
$50,570 | $34,848 |
|
Mercyone Dubuque Medical Center
Dubuque, IA |
$53,679 | $23,542 |
|
Silver Cross Hospital And Medical Centers
New Lenox, IL |
$56,968 | $24,590 |
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 |
|---|---|---|
|
Uci Health - Fountain Valley
Fountain Valley, CA |
$604,269 | $38,918 |
|
Hospital Of Univ Of Pennsylvania
Philadelphia, PA |
$537,869 | $62,049 |
|
Doctors Medical Center
Modesto, CA |
$536,432 | $46,125 |
|
Good Samaritan Hospital
San Jose, CA |
$527,755 | $41,482 |
|
Stanford Health Care
Stanford, CA |
$490,117 | $56,200 |
|
Upmc Presbyterian Shadyside
Pittsburgh, PA |
$471,353 | $37,392 |
|
Cjw Medical Center
Richmond, VA |
$456,857 | $24,586 |
|
Hca-Healthone Dba Swedish Medical Center
Englewood, CO |
$449,850 | $27,943 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$448,555 | $30,654 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$447,153 | $28,352 |
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$431,608 | $43,020 |
|
Flowers Hospital
Dothan, AL |
$407,607 | $21,899 |
Questions people ask
What do U.S. hospitals charge for Permanent Cardiac Pacemaker Implant with Major Complications?
Across 513 U.S. hospitals, the middle charge for Permanent Cardiac Pacemaker Implant with Major Complications is $138,654. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $103,396 and the dearest quarter over $189,998.
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 Major Complications, the hospitals in the dearest tenth charge about 3.3x 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. $30,345 is roughly what Medicare actually paid per case, against an average charge of $160,492. 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 242: “PERMANENT CARDIAC PACEMAKER IMPLANT 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.