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Michigan rates for MS-DRG 216

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

Facilitymedian $20,893 · 10th–90th $8,710–$67,6080%5%10th90th$20,893$1.0K$5.0K$20.0K$100.0K$500.0K

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
$79,432.82 / $128,824.96 / $169,824.37
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141,253.75 / $204,173.79 / $251,188.64
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $20,417.38 / $60,255.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $120,226.44 / $162,181.01
Priority Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $20,892.96 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $104,712.85 / $162,181.01