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California rates for MS-DRG 218

Cardiac valve & oth maj cardiothoracic proc w card cath w/o CC/MCC

Facilitymedian $151,356 · 10th–90th $46,774–$301,9950%20%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 / $281,838.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $181,970.09 / $301,995.17
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $95,499.26 / $295,120.92
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $109,647.82 / $239,883.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $67,608.30
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 / $301,995.17
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186,208.71 / $186,208.71 / $186,208.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $75,857.76 / $263,026.80