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Heart Transplant or Heart Assist Implant (with MCC)

Illinois 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?

$323,594

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $323,594 for this service. Most negotiated rates run $263,027 to $380,189.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $323,594 · 10th to 90th $5,623 to $467,735
$2K$10K$50K$200Kfacility $323,594

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
$275,422.87
Median
$363,078.05
Typical High
$467,735.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$190,546.07
Median
$309,029.54
Typical High
$457,088.19
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$1,513.56
Median
$3,311.31
Typical High
$5,248.07
United
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$316,227.77
Typical High
$501,187.23

Where Illinois 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.

Illinois· 37th of 51

$323,594

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.