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Pennsylvania rates for MS-DRG 219

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

Facilitymedian $125,893 · 10th–90th $67,608–$181,9700%10%10th90th$125,893$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$70,794.58 / $128,824.96 / $186,208.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $151,356.12 / $218,776.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $123,026.88 / $186,208.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134,896.29 / $134,896.29 / $165,958.69
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $123,026.88 / $154,881.66
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $120,226.44 / $165,958.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $125,892.54 / $177,827.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $66,069.34 / $109,647.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $93,325.43 / $177,827.94