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Cardiothoracic Procedures with Cath (with MCC)

California rates for MS-DRG 216

Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC

Rates data updated July 2026.

How much does Cardiothoracic Procedures with Cath (with MCC) cost?

$218,776

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $218,776 for this service. Most negotiated rates run $63,096 to $354,813.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $218,776 · 10th to 90th $46,774 to $354,813
$1K$10K$100Kfacility $218,776

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
$46,773.51
Median
$112,201.85
Typical High
$331,131.12
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$245,470.89
Typical High
$354,813.39
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$112,201.85
Typical High
$398,107.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$165,958.69
Typical High
$389,045.14
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$77,624.71
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$354,813.39
Median
$354,813.39
Typical High
$354,813.39
Providence
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$169,824.37
Typical High
$407,380.28
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$213,796.21
Median
$213,796.21
Typical High
$213,796.21
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$87,096.36
Typical High
$338,844.16

Where California sits

The same service costs 12.3 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.

California· 6th of 51

$218,776

NY $263,027MI $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.