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New York rates for MS-DRG 219

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

Facilitymedian $190,546 · 10th–90th $74,131–$301,9950%10%10th90th$190,546$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
$64,565.42 / $165,958.69 / $301,995.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125,892.54 / $229,086.77 / $316,227.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138,038.43 / $218,776.16 / $275,422.87
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $190,546.07 / $478,630.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $74,131.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $162,181.01 / $263,026.80