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Cardiothoracic Procedures without Cath (with MCC)

New York rates for MS-DRG 219

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

Rates data updated October 2026.

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

$194,984

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $194,984 for this service. Most negotiated rates run $134,896 to $245,471.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $194,984 · 10th to 90th $89,125 to $301,995
$5K$10K$20K$50K$100K$200K$500Kfacility $194,984

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
$74,131.02
Median
$162,181.01
Typical High
$301,995.17
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$131,825.67
Median
$218,776.16
Typical High
$309,029.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$114,815.36
Median
$204,173.79
Typical High
$275,422.87
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$104,712.85
Median
$199,526.23
Typical High
$380,189.40
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$60,255.96
Median
$75,857.76
Typical High
$83,176.38
United
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$151,356.12
Typical High
$263,026.80

Where New York sits

The same service costs 724.4 times more in Alaska 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.

New York· 3rd of 51

$194,984

AK $199,526HI $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.