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Nationwide rates for MS-DRG 216

Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc

Facilitymedian $60,256 · 10th–90th $10,965$239,8830%5%10th90th$60,256$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $144,543.98 / $281,838.29
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $169,824.37 / $354,813.39
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $22,387.21 / $100,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $120,226.44 / $245,470.89