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Heart Transplant or Heart Assist Implant (with MCC)

Pennsylvania 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?

$416,869

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $416,869 for this service. Most negotiated rates run $288,403 to $524,807.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $416,869 · 10th to 90th $229,087 to $602,560
$10K$20K$50K$100K$200K$500Kfacility $416,869

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
$257,039.58
Median
$426,579.52
Typical High
$602,559.59
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$512,861.38
Typical High
$812,830.52
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$489,778.82
Median
$489,778.82
Typical High
$602,559.59
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$204,173.79
Median
$446,683.59
Typical High
$562,341.33
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$354,813.39
Median
$524,807.46
Typical High
$1,071,519.31
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$251,188.64
Median
$416,869.38
Typical High
$602,559.59
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$213,796.21
Median
$257,039.58
Typical High
$446,683.59
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$354,813.39
Typical High
$630,957.34

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$416,869

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.