Inpatient stays / DRG 243
MS-DRG 243 · 681 hospitals · 19,621 stays
DRG 243: Permanent Cardiac Pacemaker Implant with CC
Medicare patients had 19,621 stays in DRG 243 in 2024. Hospitals charged an average of $111,073 per stay and were paid $20,395 — a ratio of 5.4 to 1 — of which Medicare's own share averaged $17,325. Average charges ran from $21,986 at the least expensive hospital to $443,875 at the most; half of hospitals charged between $72,362 and $127,045.
- 1Average charge $111,073
- 2Average paid $20,395
- 3Reporting hospitals 681
- 4Medicare stays 19,621
By state
Average charges for DRG 243 were highest in Nevada ($220,809) and lowest in Maryland ($31,377). Payments vary far less than charges, because Medicare sets them: they range across states from $15,849 to $28,365.
| State | Stays | Avg charge | Avg paid | Ratio |
|---|---|---|---|---|
| Nevada | 158 | $220,809 | $21,510 | 10.3× |
| California | 1,451 | $167,757 | $26,421 | 6.3× |
| Florida | 1,703 | $146,825 | $18,142 | 8.1× |
| Texas | 1,336 | $146,405 | $18,963 | 7.7× |
| Colorado | 191 | $144,599 | $19,289 | 7.5× |
| New Jersey | 635 | $137,094 | $21,980 | 6.2× |
| Arizona | 384 | $127,699 | $21,290 | 6× |
| South Carolina | 419 | $125,306 | $18,795 | 6.7× |
| New York | 978 | $125,006 | $25,693 | 4.9× |
| Alaska | 44 | $123,761 | $24,358 | 5.1× |
| Kentucky | 259 | $122,885 | $17,065 | 7.2× |
| District of Columbia | 55 | $121,036 | $25,804 | 4.7× |
| Pennsylvania | 1,050 | $117,505 | $19,935 | 5.9× |
| Alabama | 241 | $112,178 | $16,462 | 6.8× |
| Tennessee | 431 | $110,349 | $19,036 | 5.8× |
| Georgia | 517 | $107,594 | $19,772 | 5.4× |
| Indiana | 428 | $102,440 | $17,956 | 5.7× |
| New Mexico | 67 | $102,145 | $20,222 | 5.1× |
| Virginia | 719 | $101,590 | $19,128 | 5.3× |
| Louisiana | 212 | $100,165 | $17,302 | 5.8× |
| Kansas | 226 | $99,170 | $17,469 | 5.7× |
| New Hampshire | 128 | $98,074 | $20,443 | 4.8× |
| Illinois | 805 | $97,248 | $20,180 | 4.8× |
| Mississippi | 201 | $95,898 | $16,084 | 6× |
| Missouri | 387 | $95,611 | $18,268 | 5.2× |
| Utah | 155 | $91,976 | $18,479 | 5× |
| Oklahoma | 255 | $90,806 | $17,036 | 5.3× |
| Wyoming | 26 | $90,531 | $22,413 | 4× |
| Maine | 95 | $87,701 | $20,096 | 4.4× |
| North Carolina | 654 | $87,159 | $18,675 | 4.7× |
| South Dakota | 117 | $85,750 | $18,122 | 4.7× |
| Washington | 378 | $85,722 | $20,522 | 4.2× |
| Minnesota | 446 | $85,650 | $20,718 | 4.1× |
| Idaho | 111 | $85,278 | $18,438 | 4.6× |
| Ohio | 775 | $83,729 | $18,337 | 4.6× |
| West Virginia | 157 | $82,209 | $17,391 | 4.7× |
| Vermont | 47 | $81,599 | $17,157 | 4.8× |
| Michigan | 538 | $78,997 | $19,677 | 4× |
| Oregon | 219 | $78,575 | $22,358 | 3.5× |
| Delaware | 130 | $77,730 | $21,147 | 3.7× |
| Connecticut | 245 | $75,813 | $24,683 | 3.1× |
| North Dakota | 77 | $74,434 | $18,118 | 4.1× |
| Wisconsin | 330 | $72,965 | $19,029 | 3.8× |
| Arkansas | 249 | $72,253 | $15,849 | 4.6× |
| Rhode Island | 65 | $72,253 | $22,909 | 3.2× |
| Hawaii | 59 | $70,270 | $26,005 | 2.7× |
| Nebraska | 158 | $69,638 | $17,253 | 4× |
| Iowa | 201 | $69,060 | $16,719 | 4.1× |
| Massachusetts | 591 | $64,724 | $24,015 | 2.7× |
| Montana | 110 | $64,699 | $17,955 | 3.6× |
| Maryland | 408 | $31,377 | $28,365 | 1.1× |
Highest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Good Samaritan Hospital San Jose, CA · 27 stays | $443,875 | $24,985 |
| Cedars-Sinai Medical Center Los Angeles, CA · 28 stays | $379,368 | $29,619 |
| Summerlin Hospital Medical Center Las Vegas, NV · 11 stays | $372,470 | $19,878 |
| Hospital of Univ of Pennsylvania Philadelphia, PA · 29 stays | $365,252 | $33,182 |
| Physicians Regional Medical Center - Pine Ridge Naples, FL · 19 stays | $358,296 | $16,256 |
| Mountainview Hospital Las Vegas, NV · 18 stays | $354,410 | $23,720 |
| Trident Medical Center Charleston, SC · 23 stays | $344,226 | $19,807 |
| Medical City Denton Denton, TX · 12 stays | $323,516 | $20,581 |
| Delray Medical Center Delray Beach, FL · 38 stays | $320,450 | $14,479 |
| Stanford Health Care Stanford, CA · 43 stays | $318,380 | $38,200 |
Lowest average charges
| Hospital | Charge | Paid |
|---|---|---|
| Luminis Health Anne Arundel Medical Center, Inc Annapolis, MD · 26 stays | $21,986 | $21,200 |
| University of MD St Joseph Medical Center Towson, MD · 14 stays | $22,919 | $20,367 |
| Suburban Hospital Bethesda, MD · 29 stays | $24,117 | $21,488 |
| Meritus Medical Center Hagerstown, MD · 18 stays | $26,872 | $24,539 |
| Umd Baltimore Washington Medical Center Glen Burnie, MD · 18 stays | $27,802 | $26,031 |
| Johns Hopkins Howard County Medical Center Columbia, MD · 20 stays | $28,523 | $25,865 |
| Tidalhealth Peninsula Regional, Inc Salisbury, MD · 62 stays | $29,299 | $26,269 |
| Medstar Union Memorial Hospital Baltimore, MD · 41 stays | $30,636 | $27,054 |
| Medstar Southern Maryland Hospital Center Clinton, MD · 15 stays | $30,752 | $29,934 |
| University of MD Shore Medical Center at Easton Easton, MD · 12 stays | $31,159 | $27,871 |
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.