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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 July 2026.

Facilitymedian $186,209 · 10th–90th $74,131$229,0870%20%10th90th$186,209$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
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$194,984.46
Typical High
$229,086.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$125,892.54
Typical High
$295,120.92
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$158,489.32
Median
$158,489.32
Typical High
$158,489.32
United
Setting
Facility
Modifier
Global
Typical Low
$125,892.54
Median
$125,892.54
Typical High
$125,892.54