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Cardiothoracic Procedures with Cath (with MCC)

West Virginia 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?

$144,544

Typical facility fee. In West Virginia, October 2026.

Insurers have agreed to pay about $144,544 for this service. Most negotiated rates run $134,896 to $177,828.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $144,544 · 10th to 90th $91,201 to $194,984
$5K$10K$20K$50K$100K$200Kfacility $144,544

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
Aetna
Setting
Facility
Modifier
None
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
None
Typical Low
$120,226.44
Median
$144,543.98
Typical High
$186,208.71
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$194,984.46
Median
$194,984.46
Typical High
$275,422.87
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$134,896.29
Typical High
$169,824.37

Where West Virginia 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.

West Virginia· 27th of 51

$144,544

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.