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Cardiothoracic Procedures with Cath (with MCC)

Wisconsin rates for MS-DRG 216

Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization with MCC

Rates data updated July 2026.

Facilitymedian $177,828 · 10th–90th $97,724$263,0270%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
Setting
Facility
Modifier
Global
Typical Low
$147,910.84
Median
$173,780.08
Typical High
$181,970.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$186,208.71
Typical High
$269,153.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125,892.54
Median
$154,881.66
Typical High
$275,422.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$128,824.96
Median
$147,910.84
Typical High
$186,208.71
Medica
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$173,780.08
Typical High
$281,838.29
Quartz
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$112,201.85
Typical High
$144,543.98
Security Health
Setting
Facility
Modifier
Global
Typical Low
$162,181.01
Median
$199,526.23
Typical High
$208,929.61
United
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$181,970.09
Typical High
$229,086.77