DRG 261 Surgical

Cardiac Pacemaker Revision Except Device Replacement with CC

Hospital inpatient stay cost data from CMS

Avg Medicare Payment
$12,288
National average
Avg Total Costs
$19,899
CMS Inpatient data
Avg Length of Stay
2.8 days
CMS MS-DRG
Est. Commercial Insurance
$18,432 — $30,721
1.5x — 2.5x Medicare
Annual Discharges
284
Medicare beneficiaries

CMS Inpatient National Data

From CMS Medicare Provider Utilization & Payment Data (FY 2023)

284
Total Discharges
$19,899
Avg Total Costs
$16,647
Avg Medicare Payment

Cost by Severity Level

NY SPARCS hospital discharge data (2022) — costs reflect New York State hospitals

Severity Discharges Avg LOS Avg Charges Avg Costs Median Costs
Extreme 250 19.5 days $190,967 $62,902 $44,248
Major 645 9.6 days $88,579 $29,704 $21,409
Minor 231 4.3 days $45,623 $15,493 $12,697
Moderate 722 5.7 days $54,189 $18,459 $15,599

Frequently Asked Questions

How much does a hospital stay for cardiac pacemaker revision except device replacement with cc cost?

The average Medicare payment for DRG 261 is $12,288. Average hospital costs are $19,899. Commercial insurance typically pays 150-250% of Medicare rates ($18,432 — $30,721).

How long is the hospital stay for DRG 261?

The average length of stay is 2.8 days. This varies by severity — NY data shows stays from 4.3 to 19.5 days depending on severity.

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.