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California rates for MS-DRG 216

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

Facilitymedian $194,984 · 10th–90th $46,774–$363,0780%20%10th90th$194,984$100.0$500.0$2.0K$10.0K$50.0K$200.0K$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
$47,863.01 / $112,201.85 / $371,535.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $245,470.89 / $354,813.39
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $114,815.36 / $398,107.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $165,958.69 / $389,045.14
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $77,624.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354,813.39 / $354,813.39 / $354,813.39
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $169,824.37 / $407,380.28
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213,796.21 / $213,796.21 / $213,796.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $87,096.36 / $338,844.16