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Cardiothoracic Procedures with Cath (with MCC)

Massachusetts rates for MS-DRG 216

Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC

Rates data updated July 2026.

How much does Cardiothoracic Procedures with Cath (with MCC) cost?

$144,544

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $144,544 for this service. Most negotiated rates run $95,499 to $208,930.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $144,544 · 10th to 90th $85,114 to $257,040
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $144,544

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$151,356.12
Typical High
$257,039.58
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$141,253.75
Typical High
$371,535.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$141,253.75
Typical High
$208,929.61
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$1,380.38
Typical High
$213,796.21
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$138,038.43
Typical High
$371,535.23
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$141,253.75
Typical High
$371,535.23
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$117,489.76
Typical High
$288,403.15

Where Massachusetts sits

The same service costs 12.3 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $144,544 · 25th of 51
NY $263,027MI $21,380

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.