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Cardiothoracic Procedures with Cath (with MCC)

New York 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?

$263,027

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $263,027 for this service. Most negotiated rates run $169,824 to $323,594.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $263,027 · 10th to 90th $104,713 to $380,189
$2.0K$10.0K$50.0K$200.0K$1.0Mfacility $263,027

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
$79,432.82
Median
$208,929.61
Typical High
$380,189.40
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$208,929.61
Median
$323,593.66
Typical High
$398,107.17
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173,780.08
Median
$275,422.87
Typical High
$354,813.39
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$109,647.82
Median
$234,422.88
Typical High
$489,778.82
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$194,984.46
Typical High
$331,131.12

Where New York 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.

New York $263,027 · 1st 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.