go back

California rates for MS-DRG 219

Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc

Facilitymedian $165,959 · 10th–90th $46,774–$269,1530%10%20%10th90th$165,959$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 / $102,329.30 / $269,153.48
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $190,546.07 / $263,026.80
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $102,329.30 / $309,029.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $128,824.96 / $281,838.29
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
$275,422.87 / $275,422.87 / $275,422.87
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $131,825.67 / $301,995.17
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154,881.66 / $154,881.66 / $154,881.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $79,432.82 / $245,470.89