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Pennsylvania rates for MS-DRG 218

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

Facilitymedian $107,152 · 10th–90th $58,884–$154,8820%10%10th90th$107,152$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$60,255.96 / $109,647.82 / $158,489.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $104,712.85 / $144,543.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $104,712.85 / $162,181.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $114,815.36 / $141,253.75
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $107,151.93 / $128,824.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $75,857.76 / $97,723.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $100,000.00 / $154,881.66
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $46,773.51 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $81,283.05 / $154,881.66