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Oregon rates for MS-DRG 219

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

Facilitymedian $181,970 · 10th–90th $97,724–$281,8380%20%10th90th$181,970$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$181,970.09 / $208,929.61 / $426,579.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$112,201.85 / $186,208.71 / $281,838.29
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $251.19
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123,026.88 / $154,881.66 / $245,470.89
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $100,000.00 / $100,000.00
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128,824.96 / $181,970.09 / $275,422.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $147,910.84 / $204,173.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $173,780.08 / $208,929.61