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California rates for MS-DRG 220

Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC

Facilitymedian $128,825 · 10th–90th $46,774–$181,9700%20%10th90th$128,825$100.0$500.0$2.0K$10.0K$50.0K$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
$47,863.01 / $93,325.43 / $169,824.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $134,896.29 / $181,970.09
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $87,096.36 / $194,984.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $91,201.08 / $186,208.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $77,624.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190,546.07 / $190,546.07 / $190,546.07
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $95,499.26 / $190,546.07
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $107,151.93 / $107,151.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $70,794.58 / $169,824.37