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Ohio rates for MS-DRG 216

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

Facilitymedian $138,038 · 10th–90th $87,096–$208,9300%10%10th90th$138,038$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$100,000.00 / $141,253.75 / $218,776.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $128,824.96 / $194,984.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $154,881.66 / $223,872.11
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $138,038.43 / $229,086.77
SummaCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $102,329.30 / $154,881.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $134,896.29 / $213,796.21