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Cardiothoracic Procedures with Cath (with MCC)

Vermont 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?

$251,189

Typical facility fee. In Vermont, October 2026.

Insurers have agreed to pay about $251,189 for this service. Most negotiated rates run $125,893 to $275,423.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $251,189 · 10th to 90th $117,490 to $346,737
$200Kfacility $251,189

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
BCBS Vermont
Setting
Facility
Modifier
None
Typical Low
$125,892.54
Median
$251,188.64
Typical High
$275,422.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$117,489.76
Median
$138,038.43
Typical High
$269,153.48
United
Setting
Facility
Modifier
None
Typical Low
$346,736.85
Median
$346,736.85
Typical High
$346,736.85

Where Vermont 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.

Vermont· 2nd of 51

$251,189

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.