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Cardiothoracic Procedures without Cath (with MCC)

California rates for MS-DRG 219

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

Rates data updated July 2026.

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

$181,970

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $181,970 for this service. Most negotiated rates run $63,096 to $257,040.

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 $181,970 · 10th to 90th $46,774 to $263,027
$100.0$1.0K$10.0K$100.0Kfacility $181,970

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
$47,863.01
Median
$107,151.93
Typical High
$257,039.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$190,546.07
Typical High
$263,026.80
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100,000.00
Typical High
$309,029.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$128,824.96
Typical High
$281,838.29
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$67,608.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$275,422.87
Median
$275,422.87
Typical High
$275,422.87
Providence
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$131,825.67
Typical High
$301,995.17
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$154,881.66
Median
$154,881.66
Typical High
$154,881.66
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$79,432.82
Typical High
$245,470.89

Where California sits

The same service costs 9.3 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $181,970 · 6th of 51
NY $199,526MI $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.