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California rates for MS-DRG 217

Cardiac valve & oth maj cardiothoracic proc w card cath w CC

Facilitymedian $151,356 · 10th–90th $46,774–$323,5940%10%10th90th$151,356$100.0$500.0$2.0K$10.0K$50.0K$200.0K

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
$47,863.01 / $93,325.43 / $295,120.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $181,970.09 / $323,593.66
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $100,000.00 / $309,029.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $112,201.85 / $275,422.87
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $83,176.38
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$234,422.88 / $234,422.88 / $234,422.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $112,201.85 / $323,593.66
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194,984.46 / $194,984.46 / $194,984.46
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $74,131.02 / $257,039.58