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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.

Facilitymedian $218,776 · 10th–90th $46,774$354,8130%20%10th90th$218,776$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
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