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Cardiothoracic Procedures with Cath (with MCC)

Washington, DC 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?

$213,796

Typical facility fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $213,796 for this service. Most negotiated rates run $177,828 to $275,423.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $213,796 · 10th to 90th $120,226 to $380,189
$100K$200Kfacility $213,796

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$190,546.07
Median
$234,422.88
Typical High
$245,470.89
CareFirst
Setting
Facility
Modifier
None
Typical Low
$120,226.44
Median
$213,796.21
Typical High
$331,131.12
Cigna
Setting
Facility
Modifier
None
Typical Low
$165,958.69
Median
$213,796.21
Typical High
$416,869.38
United
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$194,984.46
Typical High
$380,189.40

Where Washington, DC 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.

Washington, DC· 8th of 51

$213,796

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.