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Cardiothoracic Procedures with Cath (with MCC)

North Carolina 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?

$112,202

Typical facility fee. In North Carolina, July 2026.

Insurers have agreed to pay about $112,202 for this service. Most negotiated rates run $89,125 to $144,544.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $112,202 · 10th to 90th $53,703 to $190,546
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $112,202

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
$48,977.88
Median
$97,723.72
Typical High
$134,896.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$104,712.85
Typical High
$177,827.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$147,910.84
Typical High
$199,526.23
United
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$134,896.29
Typical High
$223,872.11

Where North Carolina 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.

North Carolina $112,202 · 36th 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.