DRG 259 Surgical
Cardiac Pacemaker Device Replacement without MCC
Hospital inpatient stay cost data from CMS
Avg Medicare Payment
$13,144
National average
Avg Total Costs
$15,733
CMS Inpatient data
Avg Length of Stay
2.4 days
CMS MS-DRG
Est. Commercial Insurance
$19,715 — $32,859
1.5x — 2.5x Medicare
Annual Discharges
13
Medicare beneficiaries
CMS Inpatient National Data
From CMS Medicare Provider Utilization & Payment Data (FY 2023)
13
Total Discharges
$15,733
Avg Total Costs
$14,121
Avg Medicare Payment
Frequently Asked Questions
How much does a hospital stay for cardiac pacemaker device replacement without mcc cost?
The average Medicare payment for DRG 259 is $13,144. Average hospital costs are $15,733. Commercial insurance typically pays 150-250% of Medicare rates ($19,715 — $32,859).
How long is the hospital stay for DRG 259?
The average length of stay is 2.4 days. This varies by severity — patients with complications or comorbidities may stay longer.
How much does this hospital stay cost without insurance?
Without insurance, you may be billed the hospital's chargemaster rate, which can be 3-5x the actual cost. Request an itemized bill and ask about financial assistance programs. Many hospitals offer 40-60% discounts for self-pay patients.