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Tennessee rates for MS-DRG 216

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

Facilitymedian $109,648 · 10th–90th $43,652–$223,8720%10%10th90th$109,648$1.0K$5.0K$20.0K$100.0K$500.0K

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
$29,512.09 / $89,125.09 / $245,470.89
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $131,825.67 / $208,929.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $117,489.76 / $154,881.66
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354,813.39 / $354,813.39 / $354,813.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $117,489.76 / $199,526.23