Permanent cardiac pacemaker implant with major complications
What 513 hospitals in the U.S. charged and were paid for a Medicare hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242), from 2024 Medicare claims.
Average charge
$160,492
Hospital list price billed
Average payment
$30,574
Medicare + patient + other payers
Medicare paid
$26,961
Average per stay
Volume
9,743
Medicare hospital stays
Hospitals in the U.S. billed an average of $160,492 for permanent cardiac pacemaker implant with major complications, about 5.2 times the average total payment of $30,574.
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.
Paid $30,574Billed $160,492
About 19¢ was paid for every $1 hospitals in the U.S. billed for this stay.
Medicare prices this stay in 3 versions, by how sick the patient was. Compare them:
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
| Delray Medical CenterDelray Beach, FL | $20,745 |
|---|---|
| Sarasota Memorial Hospital - VeniceNorth Venice, FL | $20,766 |
| Oklahoma Heart HospitalOklahoma City, OK | $21,208 |
| Fletcher Allen Hospital of VermontBurlington, VT | $21,427 |
| Roper HospitalCharleston, SC | $21,629 |
| Memorial Healthcare System, INCChattanooga, TN | $21,916 |
| Indian River Medical CenterVero Beach, FL | $22,530 |
| Huntsville HospitalHuntsville, AL | $22,725 |
| Bryan Medical CenterLincoln, NE | $22,944 |
| Baylor Regional Medical Center at GrapevineGrapevine, TX | $23,009 |
Highest
| Hospital of the Univ of PaPhiladelphia, PA | $62,049 |
|---|---|
| New York-Presbyterian HospitalNew York, NY | $58,901 |
| Beth Israel Deaconess Medical CenterBoston, MA | $54,681 |
| Mayo Clinic HospitalPhoenix, AZ | $54,376 |
| Maimonides Medical CenterBrooklyn, NY | $52,399 |
| Yale-New Haven HospitalNew Haven, CT | $44,828 |
| University HospitalStony Brook, NY | $44,193 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | $43,906 |
| Hackensack University Medical CenterHackensack, NJ | $43,248 |
| Medical College of Virginia HospitalsRichmond, VA | $43,118 |
Permanent cardiac pacemaker implant with major 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 | 4 | $172,072 | $23,112 | $21,899 – $24,908 |
| Alaska | 1 | $195,701 | $33,087 | – |
| Arizona | 11 | $153,926 | $30,939 | $24,253 – $54,376 |
| Arkansas | 5 | $78,735 | $23,670 | $20,898 – $26,481 |
| California | 45 | $254,119 | $39,331 | $29,122 – $77,166 |
| Colorado | 4 | $203,801 | $25,370 | $23,723 – $27,943 |
| Connecticut | 3 | $124,883 | $38,398 | $35,052 – $44,828 |
| Delaware | 3 | $105,721 | $29,246 | $24,618 – $30,405 |
| Florida | 46 | $196,694 | $25,616 | $20,126 – $38,749 |
| Georgia | 12 | $181,387 | $30,183 | $24,630 – $38,130 |
| Hawaii | 2 | $140,103 | $41,784 | $38,666 – $44,423 |
| Idaho | 2 | $112,765 | $28,947 | $26,388 – $34,065 |
| Illinois | 20 | $123,527 | $27,818 | $22,210 – $34,436 |
| Indiana | 14 | $131,805 | $26,581 | $23,853 – $31,441 |
| Iowa | 7 | $100,165 | $26,666 | $23,542 – $32,198 |
| Kansas | 8 | $158,395 | $25,262 | $22,540 – $30,049 |
| Kentucky | 8 | $153,617 | $25,186 | $22,743 – $35,189 |
| Louisiana | 4 | $107,364 | $23,447 | $21,894 – $27,080 |
| Maine | 2 | $140,572 | $32,503 | $29,855 – $34,472 |
| Maryland | 10 | $45,225 | $40,699 | $29,765 – $70,800 |
| Massachusetts | 17 | $101,647 | $37,515 | $27,543 – $54,681 |
| Michigan | 14 | $115,524 | $28,825 | $23,538 – $36,642 |
| Minnesota | 10 | $127,010 | $31,734 | $24,549 – $43,906 |
| Mississippi | 4 | $115,966 | $24,047 | $22,042 – $25,789 |
| Missouri | 11 | $107,822 | $26,584 | $21,628 – $34,414 |
| Montana | 2 | $73,504 | $26,164 | $25,572 – $26,975 |
| Nebraska | 3 | $93,993 | $22,759 | $20,737 – $23,966 |
| Nevada | 5 | $273,948 | $30,916 | $28,261 – $35,197 |
| New Hampshire | 2 | $94,323 | $35,260 | $26,338 – $39,045 |
| New Jersey | 18 | $192,021 | $34,672 | $28,134 – $43,248 |
| New Mexico | 3 | $137,036 | $24,478 | $22,438 – $25,156 |
| New York | 24 | $201,663 | $40,117 | $29,486 – $58,901 |
| North Carolina | 13 | $118,402 | $27,963 | $23,088 – $49,797 |
| North Dakota | 4 | $88,367 | $27,349 | $25,766 – $28,360 |
| Ohio | 20 | $131,982 | $29,805 | $22,083 – $55,826 |
| Oklahoma | 7 | $122,032 | $24,352 | $21,208 – $28,014 |
| Oregon | 5 | $103,922 | $33,467 | $28,456 – $38,240 |
| Pennsylvania | 25 | $190,935 | $30,651 | $22,064 – $62,049 |
| Rhode Island | 2 | $91,506 | $36,279 | $30,585 – $43,526 |
| South Carolina | 10 | $192,807 | $27,052 | $21,498 – $41,592 |
| South Dakota | 3 | $125,208 | $28,278 | $25,113 – $32,934 |
| Tennessee | 13 | $146,756 | $26,628 | $21,916 – $38,915 |
| Texas | 41 | $208,700 | $27,639 | $20,592 – $44,694 |
| Utah | 5 | $151,260 | $26,473 | $21,945 – $28,080 |
| Vermont | 1 | $95,475 | $21,427 | – |
| Virginia | 16 | $146,364 | $28,930 | $23,782 – $43,118 |
| Washington | 13 | $137,007 | $31,736 | $27,192 – $36,193 |
| West Virginia | 4 | $134,579 | $33,130 | $26,890 – $37,344 |
| Wisconsin | 5 | $106,651 | $30,147 | $25,574 – $37,276 |
| Wyoming | 1 | $111,503 | $31,789 | – |
Hospitals that treat the most Medicare patients for this
| Hospital | Stays | Avg charge | Avg payment |
|---|---|---|---|
| Abbott Northwestern Hospital INCMinneapolis, MN | 75 | $153,605 | $29,804 |
| Methodist HospitalSan Antonio, TX | 68 | $251,487 | $26,583 |
| NYU Hospitals CenterNew York, NY | 56 | $306,098 | $42,984 |
| Mayo Clinic - Saint Marys HospitalRochester, MN | 53 | $119,532 | $43,906 |
| Inova Fairfax HospitalFalls Church, VA | 53 | $82,569 | $30,318 |
| New York-Presbyterian HospitalNew York, NY | 52 | $336,230 | $58,901 |
| Memorial Mission Hospital and Asheville Surgery CeAsheville, NC | 51 | $130,921 | $25,220 |
| Jersey Shore University Medical CenterNeptune City, NJ | 50 | $178,742 | $33,414 |
| Beth Israel Deaconess Medical CenterBoston, MA | 47 | $109,824 | $54,681 |
| Medstar Washington Hospital CenterWashington, DC | 46 | $138,016 | $39,111 |
| St Francis Hospital, RoslynRoslyn, NY | 46 | $182,226 | $30,342 |
| Lehigh Valley HospitalAllentown, PA | 46 | $245,322 | $29,711 |
| Adventhealth OrlandoOrlando, FL | 44 | $221,624 | $26,859 |
| Mem Hermann Southwest HospHouston, TX | 44 | $92,175 | $30,697 |
| Rex HospitalRaleigh, NC | 43 | $90,534 | $24,148 |
Questions
How much does permanent cardiac pacemaker implant with major complications cost in the U.S.?
In 2024 Medicare data, a hospital stay for permanent cardiac pacemaker implant with major complications (DRG 242) at 513 hospitals in the U.S. was billed at $160,492 on average, while the average total payment was $30,574, of which Medicare paid $26,961. Your own cost depends on your insurance, deductible and the hospital.
Which states pay the most and least for permanent cardiac pacemaker implant with major complications?
Among states with at least three hospitals reporting, the average total payment was highest in Maryland ($40,699), New York ($40,117), California ($39,331) and lowest in Nebraska ($22,759), Alabama ($23,112), Louisiana ($23,447).
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 5.2 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.