Permanent cardiac pacemaker implant with complications
What 681 hospitals in the U.S. charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with complications (DRG 243), from 2024 Medicare claims.
Average charge
$109,447
Hospital list price billed
Average payment
$20,414
Medicare + patient + other payers
Medicare paid
$17,315
Average per stay
Volume
14,876
Medicare hospital stays
Hospitals in the U.S. billed an average of $109,447 for permanent cardiac pacemaker implant with complications, about 5.4 times the average total payment of $20,414.
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.
Permanent cardiac pacemaker implant with major complications
Permanent cardiac pacemaker implant 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
| Nebraska Heart Hospital, LLCLincoln, NE | $13,911 |
|---|---|
| Arkansas Heart HospitalLittle Rock, AR | $13,928 |
| Oklahoma Heart HospitalOklahoma City, OK | $14,336 |
| Martin Memorial Health SystemsStuart, FL | $14,468 |
| Roper HospitalCharleston, SC | $14,470 |
| Delray Medical CenterDelray Beach, FL | $14,479 |
| Mercy Medical CenterCanton, OH | $14,518 |
| Mon Health Medical CenterMorgantown, WV | $14,646 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $14,744 |
| Baptist Hospital EastLouisville, KY | $14,913 |
Highest
| Stanford HospitalPalo Alto, CA | $38,200 |
|---|---|
| Boston Medical Center CorporationBoston, MA | $35,515 |
| Sinai Hospital of BaltimoreBaltimore, MD | $34,765 |
| Frederick Memorial HospitalFrederick, MD | $34,027 |
| Hospital of the Univ of PaPhiladelphia, PA | $33,182 |
| Mount Sinai HospitalNew York, NY | $33,032 |
| University of California Davis Medical CenterSacramento, CA | $32,008 |
| Maimonides Medical CenterBrooklyn, NY | $31,462 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $30,745 |
| Saint Francis Medical CenterPeoria, IL | $30,707 |
Permanent cardiac pacemaker implant 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 |
|---|---|---|---|---|
| Alabama | 7 | $93,483 | $16,105 | $15,170 – $17,016 |
| Alaska | 1 | $100,767 | $22,909 | – |
| Arizona | 16 | $109,997 | $20,021 | $16,385 – $32,668 |
| Arkansas | 10 | $58,020 | $15,482 | $13,928 – $16,496 |
| California | 50 | $175,228 | $26,300 | $21,278 – $42,367 |
| Colorado | 6 | $134,418 | $18,718 | $16,549 – $22,858 |
| Connecticut | 7 | $75,703 | $24,933 | $23,055 – $27,727 |
| Delaware | 3 | $79,243 | $20,911 | $19,371 – $21,450 |
| Florida | 60 | $145,318 | $18,096 | $14,468 – $25,377 |
| Georgia | 19 | $109,070 | $19,813 | $15,911 – $22,980 |
| Hawaii | 2 | $79,244 | $25,918 | $24,815 – $26,620 |
| Idaho | 5 | $80,669 | $18,308 | $17,038 – $20,285 |
| Illinois | 28 | $93,254 | $19,759 | $15,225 – $30,707 |
| Indiana | 16 | $103,215 | $17,482 | $15,621 – $24,855 |
| Iowa | 9 | $68,809 | $16,727 | $14,882 – $21,591 |
| Kansas | 8 | $104,986 | $17,877 | $14,964 – $22,215 |
| Kentucky | 9 | $128,090 | $16,818 | $14,913 – $19,625 |
| Louisiana | 9 | $104,198 | $18,274 | $14,903 – $21,779 |
| Maine | 2 | $92,349 | $20,567 | $19,717 – $20,943 |
| Maryland | 16 | $30,606 | $27,694 | $20,367 – $37,048 |
| Massachusetts | 18 | $65,873 | $24,648 | $18,172 – $35,515 |
| Michigan | 20 | $73,734 | $19,485 | $16,060 – $23,983 |
| Minnesota | 13 | $85,222 | $20,716 | $16,643 – $30,745 |
| Mississippi | 8 | $85,299 | $15,929 | $14,204 – $17,189 |
| Missouri | 15 | $94,252 | $18,678 | $15,044 – $26,649 |
| Montana | 5 | $62,595 | $17,956 | $16,917 – $19,489 |
| Nebraska | 5 | $66,395 | $17,339 | $13,911 – $21,812 |
| Nevada | 6 | $223,120 | $21,245 | $18,938 – $23,720 |
| New Hampshire | 6 | $101,206 | $20,894 | $18,023 – $25,358 |
| New Jersey | 20 | $131,714 | $21,887 | $18,855 – $28,597 |
| New Mexico | 1 | $132,601 | $15,454 | – |
| New York | 32 | $128,568 | $25,723 | $18,505 – $33,032 |
| North Carolina | 19 | $90,047 | $18,728 | $15,151 – $27,252 |
| North Dakota | 2 | $69,087 | $17,793 | $17,224 – $18,390 |
| Ohio | 28 | $86,218 | $18,780 | $14,518 – $24,188 |
| Oklahoma | 8 | $81,273 | $16,589 | $14,336 – $19,542 |
| Oregon | 7 | $79,067 | $22,241 | $19,004 – $27,018 |
| Pennsylvania | 34 | $122,105 | $20,167 | $15,636 – $33,182 |
| Rhode Island | 3 | $70,650 | $23,272 | $20,663 – $24,525 |
| South Carolina | 15 | $125,648 | $18,849 | $14,470 – $23,515 |
| South Dakota | 3 | $86,648 | $18,187 | $14,929 – $21,736 |
| Tennessee | 15 | $110,424 | $19,272 | $14,325 – $29,708 |
| Texas | 51 | $146,732 | $19,189 | $14,422 – $29,120 |
| Utah | 6 | $88,863 | $18,751 | $16,572 – $22,899 |
| Vermont | 1 | $81,599 | $17,157 | – |
| Virginia | 23 | $102,302 | $19,465 | $15,407 – $28,681 |
| Washington | 15 | $86,440 | $20,624 | $17,767 – $24,106 |
| West Virginia | 7 | $86,633 | $17,582 | $14,646 – $21,100 |
| Wisconsin | 10 | $73,161 | $19,588 | $15,756 – $24,946 |
| Wyoming | 1 | $86,849 | $21,028 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| St Francis Hospital, RoslynRoslyn, NY | 97 | $136,698 | $21,412 |
| Abbott Northwestern Hospital INCMinneapolis, MN | 83 | $95,302 | $17,848 |
| New Hanover Regional Medical CenterWilmington, NC | 81 | $73,013 | $19,193 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 80 | $102,264 | $17,278 |
| St Luke's Hospital BethlehemBethlehem, PA | 79 | $138,835 | $20,943 |
| New York-Presbyterian HospitalNew York, NY | 74 | $170,508 | $29,083 |
| Inova Fairfax HospitalFalls Church, VA | 74 | $58,624 | $20,577 |
| Methodist HospitalSan Antonio, TX | 69 | $159,478 | $17,435 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 68 | $78,041 | $30,745 |
| Sarasota Memorial HospitalSarasota, FL | 66 | $113,847 | $17,530 |
| Christiana Care Health Services, INC.Newark, DE | 64 | $76,768 | $21,450 |
| Massachusetts General HospitalBoston, MA | 64 | $80,438 | $27,507 |
| Morristown Memorial HospitalMorristown, NJ | 64 | $121,510 | $23,114 |
| Peninsula Regional Medical CenterSalisbury, MD | 62 | $29,299 | $26,269 |
| Adventhealth OrlandoOrlando, FL | 59 | $163,853 | $20,386 |
Questions
How much does permanent cardiac pacemaker implant with complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with complications (DRG 243) at 681 hospitals in the U.S. was billed at $109,447 on average, while the average total payment was $20,414, of which Medicare paid $17,315. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for permanent cardiac pacemaker implant with complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($27,694), California ($26,300), New York ($25,723) and lowest in Arkansas ($15,482), Mississippi ($15,929), Alabama ($16,105).
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 5.4 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.