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Virginia rates for MS-DRG 216

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

Facilitymedian $151,356 · 10th–90th $81,283–$208,9300%10%10th90th$151,356$1.0K$5.0K$20.0K$100.0K

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
$83,176.38 / $147,910.84 / $199,526.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123,026.88 / $181,970.09 / $263,026.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $154,881.66 / $239,883.29
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $144,543.98 / $199,526.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $81,283.05 / $263,026.80