go back

California rates for MS-DRG 216

Cardiac valve and other major cardiothoracic procedures with cardiac catheterization with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,349.00 / $56,991.00 / $247,984.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,171.00 / $131,718.21 / $341,352.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $95,200.00 / $274,509.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,642.00 / $138,856.26 / $397,024.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176,132.57 / $255,754.15 / $300,149.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,804.00 / $114,327.66 / $390,452.00
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216,037.00 / $216,037.00 / $216,037.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,974.00 / $65,035.00 / $258,667.01