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Wisconsin rates for MS-DRG 216

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

Facilitymedian $177,828 · 10th–90th $97,724–$257,0400%10%10th90th$177,828$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
$147,910.84 / $173,780.08 / $181,970.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $186,208.71 / $269,153.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $154,881.66 / $275,422.87
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128,824.96 / $147,910.84 / $186,208.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $173,780.08 / $281,838.29
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,621.81 / $112,201.85 / $144,543.98
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162,181.01 / $199,526.23 / $208,929.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $181,970.09 / $229,086.77