Cardiac pacemaker revision except device replacement with complications
What 11 hospitals in the U.S. charged and were paid for a Medicare hospital stay for cardiac pacemaker revision except device replacement with complications (DRG 261), from 2024 Medicare claims.
Average charge
$129,135
Hospital list price billed
Average payment
$20,493
Medicare + patient + other payers
Medicare paid
$16,921
Average per stay
Volume
196
Medicare hospital stays
Hospitals in the U.S. billed an average of $129,135 for cardiac pacemaker revision except device replacement with complications, about 6.3 times the average total payment of $20,493.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
Cardiac pacemaker revision except device replacement with major complications
Cardiac pacemaker revision except device replacement without complications
Lowest and highest payments
Among hospitals with at least 20 Medicare hospital stays. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
Lowest
| Adventhealth OrlandoOrlando, FL | $16,533 |
|---|---|
| University HospitalStony Brook, NY | $23,771 |
| New York-Presbyterian HospitalNew York, NY | $25,274 |
| NYU Hospitals CenterNew York, NY | $26,851 |
Highest
| NYU Hospitals CenterNew York, NY | $26,851 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $25,274 |
| University HospitalStony Brook, NY | $23,771 |
| Adventhealth OrlandoOrlando, FL | $16,533 |
Cardiac pacemaker revision except device replacement with complications cost by state
Volume-weighted averages for each state's hospitals. Select a state to see every hospital.
| State | Hospitals | Avg charge | Avg payment | Range |
|---|---|---|---|---|
| Florida | 1 | $103,646 | $16,533 | – |
| Illinois | 1 | $110,889 | $16,882 | – |
| Maine | 1 | $79,382 | $14,218 | – |
| Massachusetts | 1 | $57,024 | $15,405 | – |
| New Jersey | 1 | $138,234 | $18,504 | – |
| New York | 4 | $160,259 | $24,536 | $17,694 – $26,851 |
| North Carolina | 1 | $33,591 | $15,804 | – |
| Texas | 1 | $114,163 | $14,242 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| NYU Hospitals CenterNew York, NY | 40 | $203,455 | $26,851 |
| University HospitalStony Brook, NY | 26 | $128,997 | $23,771 |
| New York-Presbyterian HospitalNew York, NY | 22 | $150,042 | $25,274 |
| Adventhealth OrlandoOrlando, FL | 20 | $103,646 | $16,533 |
| Morristown Memorial HospitalMorristown, NJ | 19 | $138,234 | $18,504 |
| Southside HospitalBay Shore, NY | 13 | $107,168 | $17,694 |
| Eastern Maine Medical CenterBangor, ME | 12 | $79,382 | $14,218 |
| St Johns HospitalSpringfield, IL | 11 | $110,889 | $16,882 |
| Southcoast Hospital Group, INCFall River, MA | 11 | $57,024 | $15,405 |
| Carolina East Medical CenterNew Bern, NC | 11 | $33,591 | $15,804 |
| Methodist HospitalSan Antonio, TX | 11 | $114,163 | $14,242 |
Questions
How much does cardiac pacemaker revision except device replacement with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for cardiac pacemaker revision except device replacement with complications (DRG 261) at 11 hospitals in the U.S. was billed at $129,135 on average, while the average total payment was $20,493, of which Medicare paid $16,921. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for cardiac pacemaker revision except device replacement with complications?
Among states with at least three hospitals reporting, the average total payment was highest in New York ($24,536) and lowest in New York ($24,536).
Why are hospital charges so much higher than payments?
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this stay in the U.S., average charges were 6.3 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Inpatient Hospitals by Provider and Service, 2024. Average total payment includes Medicare's payment, the patient's deductible and coinsurance, and any other payer. CMS omits hospitals with fewer than 11 hospital stays for privacy. About the data.