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New York rates for MS-DRG 218

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

Facilitymedian $165,959 · 10th–90th $63,096$257,0400%10%10th90th$165,959$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
$52,480.75 / $141,253.75 / $257,039.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141,253.75 / $208,929.61 / $269,153.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $181,970.09 / $239,883.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91,201.08 / $162,181.01 / $407,380.28
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $138,038.43 / $223,872.11