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Pennsylvania rates for MS-DRG 216

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

Facilitymedian $158,489 · 10th–90th $81,283–$229,0870%10%10th90th$158,489$2.0K$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
$89,125.09 / $162,181.01 / $229,086.77
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $190,546.07 / $281,838.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $158,489.32 / $218,776.16
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173,780.08 / $173,780.08 / $208,929.61
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $158,489.32 / $190,546.07
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $165,958.69 / $288,403.15
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $158,489.32 / $229,086.77
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $75,857.76 / $112,201.85
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $120,226.44 / $229,086.77