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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 October 2026.

How much does Cardiothoracic Procedures with Cath (with MCC) cost?

$147,911

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $147,911 for this service. Most negotiated rates run $95,499 to $190,546.

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 $147,911 · 10th to 90th $75,858 to $229,087
$5K$10K$20K$50K$100K$200Kfacility $147,911

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
$91,201.08
Median
$162,181.01
Typical High
$234,422.88
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$87,096.36
Median
$194,984.46
Typical High
$245,470.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$91,201.08
Median
$162,181.01
Typical High
$245,470.89
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$173,780.08
Median
$173,780.08
Typical High
$208,929.61
Geisinger
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$131,825.67
Typical High
$199,526.23
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$120,226.44
Median
$165,958.69
Typical High
$288,403.15
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$89,125.09
Median
$165,958.69
Typical High
$234,422.88
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$74,131.02
Median
$89,125.09
Typical High
$151,356.12
United
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$134,896.29
Typical High
$213,796.21

Where Pennsylvania 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.

Pennsylvania· 25th of 51

$147,911

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.