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Heart Transplant or Heart Assist Implant (with MCC)

California rates for MS-DRG 001

Heart Transplant or Implant of Heart Assist System with MCC

Rates data updated July 2026.

How much does Heart Transplant or Heart Assist Implant (with MCC) cost?

$676,083

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $676,083 for this service. Most negotiated rates run $331,131 to $954,993.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $676,083 · 10th to 90th $10,715 to $1,174,898
$1K$10K$100K$1Mfacility $676,083

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$363,078.05
Median
$630,957.34
Typical High
$1,122,018.45
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$691,830.97
Typical High
$1,174,897.55
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$323,593.66
Typical High
$1,047,128.55
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,000,000.00
Median
$1,000,000.00
Typical High
$1,000,000.00
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$169,824.37
Median
$169,824.37
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$79,432.82
Typical High
$741,310.24

Where California sits

The same service costs 33.9 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 5th of 51

$676,083

NY $724,436MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.