go back

Cardiothoracic Procedures with Cath (with MCC)

Pennsylvania 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?

$154,882

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $154,882 for this service. Most negotiated rates run $112,202 to $194,984.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $154,882 · 10th to 90th $81,283 to $218,776
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $154,882

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
$89,125.09
Median
$162,181.01
Typical High
$218,776.16
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$194,984.46
Typical High
$281,838.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$85,113.80
Median
$158,489.32
Typical High
$218,776.16
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$173,780.08
Median
$173,780.08
Typical High
$208,929.61
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$158,489.32
Typical High
$194,984.46
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$102,329.30
Median
$165,958.69
Typical High
$288,403.15
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$147,910.84
Typical High
$218,776.16
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$83,176.38
Median
$104,712.85
Typical High
$151,356.12
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$120,226.44
Typical High
$229,086.77

Where Pennsylvania 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.

Pennsylvania $154,882 · 20th 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.