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Cardiothoracic Procedures with Cath (with MCC)

Maine 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?

$229,087

Typical facility fee. In Maine, October 2026.

Insurers have agreed to pay about $229,087 for this service. Most negotiated rates run $177,828 to $295,121.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $229,087 · 10th to 90th $154,882 to $295,121
$100K$200Kfacility $229,087

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$165,958.69
Median
$229,086.77
Typical High
$295,120.92
Cigna
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$295,120.92
Typical High
$295,120.92
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$181,970.09
Median
$181,970.09
Typical High
$245,470.89

Where Maine 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.

Maine· 4th of 51

$229,087

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.