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Maine rates for MS-DRG 216

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

Facilitymedian $177,828 · 10th–90th $69,183–$229,0870%20%10th90th$177,828$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $194,984.46 / $229,086.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $125,892.54 / $295,120.92
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$158,489.32 / $158,489.32 / $158,489.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125,892.54 / $125,892.54 / $125,892.54