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Cardiothoracic Procedures with Cath (with MCC)

Ohio 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?

$154,882

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $154,882 for this service. Most negotiated rates run $120,226 to $181,970.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $154,882 · 10th to 90th $93,325 to $213,796
$20K$50K$100K$200Kfacility $154,882

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
$107,151.93
Median
$154,881.66
Typical High
$218,776.16
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$95,499.26
Median
$141,253.75
Typical High
$208,929.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$97,723.72
Median
$162,181.01
Typical High
$208,929.61
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$95,499.26
Median
$169,824.37
Typical High
$204,173.79
SummaCare
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$87,096.36
Typical High
$120,226.44
United
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$173,780.08
Typical High
$223,872.11

Where Ohio 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.

Ohio· 20th of 51

$154,882

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.