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Massachusetts rates for MS-DRG 216

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

Facilitymedian $141,254 · 10th–90th $74,131–$257,0400%10%10th90th$141,254$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$74,131.02 / $144,543.98 / $257,039.58
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $141,253.75 / $371,535.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $141,253.75 / $208,929.61
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $1,380.38 / $213,796.21
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $138,038.43 / $371,535.23
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $141,253.75 / $371,535.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $112,201.85 / $288,403.15