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Heart Transplant or Heart Assist Implant (without MCC)

California rates for MS-DRG 002

Heart Transplant or Implant of Heart Assist System without MCC

Rates data updated July 2026.

How much does Heart Transplant or Heart Assist Implant (without MCC) cost?

$275,423

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $275,423 for this service. Most negotiated rates run $151,356 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $275,423 · 10th to 90th $10,715 to $478,630
$1K$10K$100Kfacility $275,423

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
$147,910.84
Median
$257,039.58
Typical High
$446,683.59
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$281,838.29
Typical High
$478,630.09
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$138,038.43
Typical High
$436,515.83
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
$407,380.28
Median
$407,380.28
Typical High
$407,380.28
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
$6,918.31
Median
$89,125.09
Typical High
$446,683.59

Where California sits

The same service costs 13.8 times more in Vermont 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· 4th of 51

$275,423

VT $295,121MI $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.