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Illinois rates for MS-DRG 216

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

Facilitymedian $112,202 · 10th–90th $61,660–$169,8240%20%10th90th$112,202$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$85,113.80 / $125,892.54 / $169,824.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $107,151.93 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $109,647.82 / $194,984.46
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $1,258.93 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $112,201.85 / $173,780.08