go back

Cardiothoracic Procedures without Cath (with MCC)

Pennsylvania 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?

$114,815

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $114,815 for this service. Most negotiated rates run $75,858 to $144,544.

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 $114,815 · 10th to 90th $60,256 to $173,780
$10K$20K$50K$100K$200Kfacility $114,815

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
$69,183.10
Median
$125,892.54
Typical High
$181,970.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$151,356.12
Typical High
$218,776.16
Cigna
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$123,026.88
Typical High
$194,984.46
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$134,896.29
Median
$134,896.29
Typical High
$165,958.69
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$123,026.88
Typical High
$154,881.66
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$120,226.44
Typical High
$165,958.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$114,815.36
Typical High
$177,827.94
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$69,183.10
Typical High
$120,226.44
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$93,325.43
Typical High
$177,827.94

Where Pennsylvania sits

The same service costs 9.3 times more in New York than in Michigan. 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.

Pennsylvania· 25th of 51

$114,815

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.