go back

Cardiothoracic Procedures with Cath (with MCC)

New Jersey 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?

$194,984

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $194,984 for this service. Most negotiated rates run $141,254 to $263,027.

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 $194,984 · 10th to 90th $21,878 to $309,030
$5K$10K$20K$50K$100K$200K$500Kfacility $194,984

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$144,543.98
Median
$204,173.79
Typical High
$288,403.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$125,892.54
Median
$239,883.29
Typical High
$338,844.16
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$123,026.88
Median
$208,929.61
Typical High
$309,029.54
United
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$19,498.45
Typical High
$204,173.79

Where New Jersey 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.

New Jersey· 11th of 51

$194,984

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.