Inpatient stays / DRG 242
MS-DRG 242 · 513 hospitals · 14,951 stays
DRG 242: Permanent Cardiac Pacemaker Implant with MCC
Medicare patients had 14,951 stays in DRG 242 in 2024. Hospitals charged an average of $160,613 per stay and were paid $30,388 — a ratio of 5.3 to 1 — of which Medicare's own share averaged $26,942. Average charges ran from $32,181 at the least expensive hospital to $604,269 at the most; half of hospitals charged between $103,322 and $190,153.
- 1Average charge $160,613
- 2Average paid $30,388
- 3Reporting hospitals 513
- 4Medicare stays 14,951
By state
Average charges for DRG 242 were highest in Alaska ($288,639) and lowest in Maryland ($47,556). Payments vary far less than charges, because Medicare sets them: they range across states from $21,429 to $42,854.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Alaska | 48 | $288,639 | $37,203 | 7.8× |
| Nevada | 152 | $284,786 | $31,187 | 9.1× |
| California | 1,226 | $246,802 | $39,650 | 6.2× |
| Texas | 1,203 | $214,163 | $27,808 | 7.7× |
| Colorado | 133 | $212,688 | $28,055 | 7.6× |
| Florida | 1,221 | $198,964 | $25,985 | 7.7× |
| New Jersey | 534 | $197,131 | $33,882 | 5.8× |
| New York | 682 | $186,862 | $39,355 | 4.7× |
| South Carolina | 298 | $177,748 | $26,918 | 6.6× |
| Pennsylvania | 763 | $177,235 | $29,799 | 5.9× |
| Arizona | 299 | $169,417 | $30,478 | 5.6× |
| Alabama | 175 | $167,807 | $24,647 | 6.8× |
| Georgia | 381 | $161,187 | $29,400 | 5.5× |
| New Mexico | 71 | $151,255 | $27,563 | 5.5× |
| Kentucky | 199 | $149,361 | $25,422 | 5.9× |
| District of Columbia | 54 | $149,310 | $40,188 | 3.7× |
| Utah | 98 | $148,538 | $26,935 | 5.5× |
| Tennessee | 327 | $148,060 | $26,365 | 5.6× |
| Mississippi | 123 | $144,605 | $24,031 | 6× |
| Virginia | 538 | $141,192 | $28,460 | 5× |
| Kansas | 181 | $140,786 | $25,133 | 5.6× |
| Indiana | 370 | $135,671 | $26,684 | 5.1× |
| Illinois | 590 | $133,893 | $28,785 | 4.7× |
| Maine | 83 | $132,889 | $31,941 | 4.2× |
| Washington | 330 | $132,415 | $31,265 | 4.2× |
| Idaho | 70 | $131,871 | $29,133 | 4.5× |
| Oklahoma | 200 | $131,754 | $24,288 | 5.4× |
| Louisiana | 150 | $130,571 | $24,516 | 5.3× |
| Missouri | 285 | $128,041 | $26,276 | 4.9× |
| West Virginia | 110 | $126,234 | $29,238 | 4.3× |
| New Hampshire | 94 | $124,280 | $31,081 | 4× |
| Minnesota | 356 | $123,439 | $31,290 | 3.9× |
| Ohio | 536 | $122,346 | $28,578 | 4.3× |
| South Dakota | 74 | $120,812 | $27,792 | 4.3× |
| Michigan | 433 | $115,081 | $29,097 | 4× |
| North Carolina | 420 | $114,639 | $27,899 | 4.1× |
| Hawaii | 61 | $113,072 | $38,904 | 2.9× |
| Connecticut | 172 | $112,171 | $35,984 | 3.1× |
| Wyoming | 21 | $110,304 | $35,624 | 3.1× |
| Wisconsin | 233 | $105,721 | $29,532 | 3.6× |
| Rhode Island | 36 | $105,276 | $34,981 | 3× |
| Arkansas | 162 | $104,650 | $24,253 | 4.3× |
| Oregon | 156 | $103,121 | $33,396 | 3.1× |
| Delaware | 61 | $102,859 | $29,483 | 3.5× |
| Nebraska | 116 | $102,462 | $25,382 | 4× |
| Iowa | 204 | $95,821 | $25,828 | 3.7× |
| Massachusetts | 469 | $94,930 | $36,524 | 2.6× |
| North Dakota | 78 | $91,440 | $26,929 | 3.4× |
| Vermont | 34 | $91,130 | $21,429 | 4.3× |
| Montana | 82 | $89,500 | $26,629 | 3.4× |
| Maryland | 259 | $47,556 | $42,854 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Uci Health-Fountain Valley Fountain Valley, CA · 13 stays | $604,269 | $38,918 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 20 stays | $537,869 | $62,049 |
| Doctors Medical Center Modesto, CA · 15 stays | $536,432 | $46,125 |
| Good Samaritan Hospital San Jose, CA · 22 stays | $527,755 | $41,482 |
| Stanford Health Care Stanford, CA · 18 stays | $490,117 | $56,200 |
| UPMC Presbyterian Shadyside Pittsburgh, PA · 26 stays | $471,353 | $37,392 |
| Cjw Medical Center Richmond, VA · 24 stays | $456,856 | $24,586 |
| HCA Healthone Swedish Englewood, CO · 12 stays | $449,850 | $27,943 |
| Sunrise Hospital and Medical Center Las Vegas, NV · 12 stays | $448,555 | $30,654 |
| HCA Houston Healthcare Kingwood Kingwood, TX · 16 stays | $447,153 | $28,352 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 14 stays | $32,181 | $29,765 |
| University of MD St Joseph Medical Center Towson, MD · 13 stays | $34,051 | $30,438 |
| Suburban Hospital Bethesda, MD · 29 stays | $37,364 | $32,573 |
| Medstar Southern Maryland Hospital Center Clinton, MD · 14 stays | $39,015 | $37,506 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 19 stays | $40,401 | $37,059 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 23 stays | $40,532 | $36,285 |
| Medstar Union Memorial Hospital Baltimore, MD · 20 stays | $42,408 | $37,435 |
| Meritus Medical Center Hagerstown, MD · 12 stays | $45,543 | $42,637 |
| Cookeville Regional Medical Center Cookeville, TN · 12 stays | $47,613 | $23,386 |
| Baystate Medical Center Springfield, MA · 38 stays | $50,570 | $34,848 |
These are averages over each hospital's Medicare stays in this DRG, which mix simple and complicated cases. A high average charge is the hospital's pricing, not a sign of better or worse care, and not what a patient pays: Medicare patients owe the inpatient deductible, and people with other coverage pay their plan's negotiated rate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Hospitals with fewer than 11 stays are suppressed by CMS. Checked 2026-10-24. Methodology.