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Cardiothoracic Procedures with Cath (with MCC)

Virginia 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?

$151,356

Typical facility fee. In Virginia, October 2026.

Insurers have agreed to pay about $151,356 for this service. Most negotiated rates run $107,152 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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $151,356 · 10th to 90th $74,131 to $234,423
$5K$10K$20K$50K$100K$200Kfacility $151,356

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
$83,176.38
Median
$128,824.96
Typical High
$194,984.46
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$114,815.36
Median
$177,827.94
Typical High
$257,039.58
CareFirst
Setting
Facility
Modifier
None
Typical Low
$123,026.88
Median
$165,958.69
Typical High
$213,796.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$147,910.84
Typical High
$245,470.89
Medcost
Setting
Facility
Modifier
None
Typical Low
$186,208.71
Median
$186,208.71
Typical High
$186,208.71
Sentara
Setting
Facility
Modifier
None
Typical Low
$81,283.05
Median
$141,253.75
Typical High
$199,526.23
United
Setting
Facility
Modifier
None
Typical Low
$4,073.80
Median
$123,026.88
Typical High
$269,153.48

Where Virginia 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.

Virginia· 21st of 51

$151,356

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.