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Texas rates for MS-DRG 216

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

Facilitymedian $102,329 · 10th–90th $60,256–$223,8720%10%10th90th$102,329$2.0K$10.0K$50.0K$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
$70,794.58 / $102,329.30 / $223,872.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $100,000.00 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $144,543.98 / $275,422.87
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354,813.39 / $354,813.39 / $354,813.39
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $87,096.36 / $186,208.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $120,226.44 / $309,029.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $85,113.80 / $194,984.46