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Pennsylvania rates for MS-DRG 220

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

Facilitymedian $87,096 · 10th–90th $47,863–$125,8930%10%10th90th$87,096$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$48,977.88 / $89,125.09 / $125,892.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $102,329.30 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $85,113.80 / $131,825.67
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $93,325.43 / $114,815.36
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $87,096.36 / $107,151.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $91,201.08 / $123,026.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $87,096.36 / $125,892.54
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $40,738.03 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $69,183.10 / $125,892.54