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New York rates for MS-DRG 220

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

Facilitymedian $138,038 · 10th–90th $51,286–$208,9300%5%10%10th90th$138,038$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
$45,708.82 / $114,815.36 / $208,929.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $169,824.37 / $218,776.16
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $151,356.12 / $190,546.07
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $131,825.67 / $331,131.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $47,863.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $112,201.85 / $181,970.09