go back

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 October 2026.

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

$165,959

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $165,959 for this service. Most negotiated rates run $89,125 to $269,153.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $165,959 · 10th to 90th $39,811 to $363,078
$1K$10K$100Kfacility $165,959

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$95,499.26
Typical High
$338,844.16
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$104,712.85
Median
$204,173.79
Typical High
$389,045.14
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$173,780.08
Typical High
$398,107.17
Cigna
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$186,208.71
Typical High
$389,045.14
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$40,738.03
Typical High
$134,896.29
Providence
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$190,546.07
Typical High
$407,380.28
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$213,796.21
Median
$213,796.21
Typical High
$213,796.21
United
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$83,176.38
Typical High
$331,131.12

Where California sits

The same service costs 933.3 times more in New York than in Hawaii. 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· 16th of 51

$165,959

NY $257,040HI $275

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.