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New York rates for MS-DRG 216

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

Facilitymedian $251,189 · 10th–90th $93,325–$380,1890%10%10th90th$251,189$2.0K$10.0K$50.0K$200.0K$1.0M

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 / $213,796.21 / $380,189.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208,929.61 / $316,227.77 / $398,107.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173,780.08 / $275,422.87 / $354,813.39
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134,896.29 / $239,883.29 / $602,559.59
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $194,984.46 / $331,131.12