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Cardiothoracic Procedures with Cath (without CC/MCC)

Pennsylvania rates for MS-DRG 218

Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization without CC/MCC

Rates data updated July 2026.

How much does Cardiothoracic Procedures with Cath (without CC/MCC) cost?

$97,724

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $64,565 to $123,027.

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 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $97,724 · 10th to 90th $52,481 to $144,544
$10K$20K$50K$100Kfacility $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$100,000.00
Typical High
$144,543.98
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$104,712.85
Typical High
$154,881.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$104,712.85
Typical High
$169,824.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$114,815.36
Median
$114,815.36
Typical High
$141,253.75
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$107,151.93
Typical High
$131,825.67
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$75,857.76
Typical High
$97,723.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$100,000.00
Typical High
$147,910.84
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$58,884.37
Typical High
$100,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$81,283.05
Typical High
$154,881.66

Where Pennsylvania sits

The same service costs 7.9 times more in New York than in Michigan. 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.

Pennsylvania· 26th of 51

$97,724

NY $169,824MI $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.