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Cardiothoracic Procedures without Cath (with CC)

California rates for MS-DRG 220

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

Rates data updated July 2026.

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

$128,825

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $128,825 for this service. Most negotiated rates run $63,096 to $177,828.

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 $128,825 · 10th to 90th $46,774 to $181,970
$500$2K$10K$50K$200Kfacility $128,825

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
$47,863.01
Median
$102,329.30
Typical High
$169,824.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$134,896.29
Typical High
$181,970.09
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$85,113.80
Typical High
$194,984.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$91,201.08
Typical High
$186,208.71
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$77,624.71
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$190,546.07
Median
$190,546.07
Typical High
$190,546.07
Providence
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$100,000.00
Typical High
$190,546.07
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$107,151.93
Median
$107,151.93
Typical High
$107,151.93
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$69,183.10
Typical High
$169,824.37

Where California sits

The same service costs 6.8 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.

California· 5th of 51

$128,825

NY $144,544MI $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.