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Washington rates for MS-DRG 216

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

Facilitymedian $239,883 · 10th–90th $138,038–$407,3800%10%10th90th$239,883$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K$500.0K

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
$162,181.01 / $251,188.64 / $524,807.46
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $173,780.08 / $234,422.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141,253.75 / $208,929.61 / $323,593.66
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $100,000.00 / $100,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128,824.96 / $181,970.09 / $275,422.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $190,546.07 / $257,039.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $194,984.46 / $281,838.29