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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 October 2026.

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

$100,000

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $100,000 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 $100,000 · 10th to 90th $51,286 to $147,911
$5K$10K$20K$50K$100K$200Kfacility $100,000

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$61,659.50
Median
$109,647.82
Typical High
$158,489.32
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$52,480.75
Median
$104,712.85
Typical High
$144,543.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$60,255.96
Median
$109,647.82
Typical High
$169,824.37
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$114,815.36
Median
$114,815.36
Typical High
$141,253.75
Geisinger
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$89,125.09
Typical High
$131,825.67
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$97,723.72
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$109,647.82
Typical High
$158,489.32
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$58,884.37
Typical High
$102,329.30
United
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$93,325.43
Typical High
$144,543.98

Where Pennsylvania sits

The same service costs 616.6 times more in Vermont than in Hawaii. 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· 23rd of 51

$100,000

VT $169,824HI $275

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.