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Heart Transplant or Heart Assist Implant (with MCC)

Wisconsin rates for MS-DRG 001

Heart Transplant or Implant of Heart Assist System with MCC

Rates data updated July 2026.

Facilitymedian $524,807 · 10th–90th $288,403$758,5780%10%10th90th$524,807$5.0K$20.0K$100.0K$500.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$416,869.38
Median
$501,187.23
Typical High
$524,807.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$301,995.17
Median
$537,031.80
Typical High
$776,247.12
Cigna
Setting
Facility
Modifier
Global
Typical Low
$363,078.05
Median
$426,579.52
Typical High
$489,778.82
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$371,535.23
Median
$416,869.38
Typical High
$537,031.80
Medica
Setting
Facility
Modifier
Global
Typical Low
$309,029.54
Median
$489,778.82
Typical High
$812,830.52
Quartz
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$301,995.17
Typical High
$416,869.38
Security Health
Setting
Facility
Modifier
Global
Typical Low
$457,088.19
Median
$575,439.94
Typical High
$602,559.59
United
Setting
Facility
Modifier
Global
Typical Low
$309,029.54
Median
$524,807.46
Typical High
$660,693.45