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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 October 2026.

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

$117,490

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $117,490 for this service. Most negotiated rates run $75,858 to $151,356.

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 $117,490 · 10th to 90th $60,256 to $181,970
$5K$10K$20K$50K$100K$200Kfacility $117,490

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
$72,443.60
Median
$125,892.54
Typical High
$186,208.71
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$154,881.66
Typical High
$199,526.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$125,892.54
Typical High
$194,984.46
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$134,896.29
Median
$134,896.29
Typical High
$165,958.69
Geisinger
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$104,712.85
Typical High
$154,881.66
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$79,432.82
Median
$125,892.54
Typical High
$173,780.08
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$69,183.10
Median
$131,825.67
Typical High
$186,208.71
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$69,183.10
Typical High
$120,226.44
United
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$104,712.85
Typical High
$169,824.37

Where Pennsylvania 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.

Pennsylvania· 25th of 51

$117,490

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.