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Heart Transplant or Heart Assist Implant (without MCC)

Pennsylvania 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?

$169,824

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $169,824 for this service. Most negotiated rates run $125,893 to $213,796.

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 $169,824 · 10th to 90th $100,000 to $281,838
$10K$20K$50K$100K$200Kfacility $169,824

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
$104,712.85
Median
$169,824.37
Typical High
$316,227.77
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$275,422.87
Typical High
$501,187.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$199,526.23
Median
$199,526.23
Typical High
$239,883.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$181,970.09
Typical High
$223,872.11
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$102,329.30
Median
$169,824.37
Typical High
$263,026.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$123,026.88
Typical High
$199,526.23
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$147,910.84
Typical High
$263,026.80

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$169,824

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.