Cost-effectiveness analysis of magnetic resonance imaging–conditional pacemaker implantation: Insights from a multicenter study and implications in the current era

Magnetic resonance imaging (MRI)–conditional pacemakers (M-PPMs) grant patients greater accessibility to MRI scans. The cost-effectiveness of implanting M-PPM is unknown. The purpose of this study was to determine the cost-effectiveness of M-PPM implantation. Cost-effectiveness analysis was performed on patients receiving a M-PPM across 4 institutions. The incremental cost-effectiveness ratio (ICER) was calculated by dividing the sum of the total incremental cost of implanting a M-PPM vs a conventional pacemaker and the cost of MRI scans by the utility of MRI scans in terms of quality-adjusted life-years (QALY) gained. QALY and lifespan of M-PPM (7–11 years) data were obtained from the literature. The benchmark of