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Cardiothoracic Procedures with Cath (with MCC)

Texas 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?

$120,226

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $120,226 for this service. Most negotiated rates run $83,176 to $177,828.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $120,226 · 10th to 90th $60,256 to $269,153
$50K$100K$200K$500Kfacility $120,226

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
$51,286.14
Median
$109,647.82
Typical High
$208,929.61
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$57,543.99
Median
$114,815.36
Typical High
$213,796.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$151,356.12
Typical High
$301,995.17
Moda Health
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$91,201.08
Typical High
$229,086.77
Providence
Setting
Facility
Modifier
None
Typical Low
$74,131.02
Median
$151,356.12
Typical High
$426,579.52
United
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$117,489.76
Typical High
$269,153.48

Where Texas 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.

Texas· 37th of 51

$120,226

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.