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Cardiothoracic Procedures without Cath (with CC)

Pennsylvania 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?

$81,283

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $54,954 to $102,329.

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 $81,283 · 10th to 90th $43,652 to $120,226
$10K$20K$50K$100Kfacility $81,283

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
$87,096.36
Typical High
$120,226.44
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$102,329.30
Typical High
$147,910.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$85,113.80
Typical High
$134,896.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$93,325.43
Typical High
$114,815.36
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$81,283.05
Typical High
$107,151.93
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$95,499.26
Typical High
$131,825.67
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$81,283.05
Typical High
$125,892.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$50,118.72
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$69,183.10
Typical High
$123,026.88

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$81,283

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.