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Cardiothoracic Procedures with Cath (with MCC)

Kentucky 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?

$117,490

Typical facility fee. In Kentucky, October 2026.

Insurers have agreed to pay about $117,490 for this service. Most negotiated rates run $89,125 to $147,911.

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 $117,490 · 10th to 90th $69,183 to $169,824
$100K$200Kfacility $117,490

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$74,131.02
Median
$144,543.98
Typical High
$234,422.88
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$69,183.10
Median
$117,489.76
Typical High
$158,489.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$63,095.73
Median
$123,026.88
Typical High
$208,929.61
United
Setting
Facility
Modifier
None
Typical Low
$52,480.75
Median
$117,489.76
Typical High
$177,827.94

Where Kentucky 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.

Kentucky· 39th of 51

$117,490

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.