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HANK Price Transparency. (n.d.).
CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT (APR_DRG 177) by State .
PPMan price-transparency data, derived from CMS-required hospital MRFs.
Retrieved October 20, 2026 , from http://ppman.hank.ai/transparency/procedure/177/by-state?code_type=APR_DRG
“CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT (APR_DRG 177) by State.” HANK Price Transparency ,
http://ppman.hank.ai/transparency/procedure/177/by-state?code_type=APR_DRG. Accessed
October 20, 2026 .
“CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT (APR_DRG 177) by State,” HANK Price Transparency ,
accessed October 20, 2026 ,
http://ppman.hank.ai/transparency/procedure/177/by-state?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital
machine-readable files (45 CFR 180). See
methodology .
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APR-DRG · across United States
177 — Cardiac Pacemaker And Defibrillator Revision Except Device Replacement
State-by-state median negotiated rates. Lower bars are cheaper states; the
range bar shows the IQR (25th to 75th percentile within each state).
$20,404
National median
$13,112 – $32,581
IQR (p25 – p75)
42
hospitals filing
15
states
Walking in without insurance?
Cash / self-pay price
Cash median
$60,428
vs. negotiated
+196.2%
Hospitals reporting
16
Cash / self-pay rates apply when you don't run the bill through insurance.
Many hospitals also offer income-based discounts on top of the published
cash price — always ask about a financial-assistance application
before paying.
Median negotiated rate, by state
Ranked by typical (median) negotiated price. Hover for state-level IQR.
Median negotiated rate by state for 177 (APR_DRG), with interquartile range
State Median p25 p75
IN $49,030 $49,030 $49,030
IL $48,424 $8,760 $49,806
SD $37,796 $19,027 $39,774
NY $32,242 $17,958 $65,107
IA $31,348 $23,188 $42,929
WA $29,620 $20,490 $41,203
TX $21,376 $20,404 $56,848
PA $20,220 $14,716 $29,411
MA $20,124 $19,720 $20,502
HI $17,942 $14,885 $21,532
VA $17,447 $17,447 $17,447
MN $12,611 $11,997 $12,611
CA $11,562 $10,714 $11,810
TN $7,900 $6,346 $9,453
OH $7,239 $7,239 $7,239