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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 July 2026.

How much does Cardiothoracic Procedures with Cath (with MCC) cost?

$97,724

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $91,201 to $123,027.

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 $97,724 · 10th to 90th $91,201 to $169,824
$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $97,724

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. 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
Global
Typical Low
$91,201.08
Median
$91,201.08
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$102,329.30
Median
$134,896.29
Typical High
$186,208.71
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$138,038.43
Median
$194,984.46
Typical High
$275,422.87
United
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$95,499.26
Typical High
$134,896.29

Where West Virginia sits

The same service costs 12.3 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $97,724 · 42nd of 51
NY $263,027MI $21,380

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.