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Implantable defibrillator (ICD) in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 33249

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$40,3101.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$40,6511.3×12026-04-01

MS-DRG 277

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$80,6222.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$87,7682.6×42026-04-01
Lehigh Valley Hospital Allentown$95,2302.9×62026-07-01
Thomas Jefferson University Hospital Philadelphia$113,1933.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$120,1143.8×12026-03-06

MS-DRG 276

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$105,9332.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$114,1482.6×42026-04-01
Lehigh Valley Hospital Allentown$121,4972.8×52026-07-01
Thomas Jefferson University Hospital Philadelphia$147,2133.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$155,6413.7×12026-03-06

MS-DRG 275

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$123,4002.4×42026-04-01
Bryn Mawr Hospital Bryn Mawr$135,5042.6×42026-04-01
Lehigh Valley Hospital Allentown$139,1892.7×52026-07-01
Thomas Jefferson University Hospital Philadelphia$174,7553.4×52026-09-15
Upmc Presbyterian Shadyside Pittsburgh$180,6093.7×12026-03-06

Questions

How much do insurers pay for implantable defibrillator (icd) in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for implantable defibrillator (icd) in their federal price-transparency files. For CPT 33249, hospital outpatient, the median across 2 hospitals is $40,481, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.