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Washington rates for MS-DRG 220

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

Facilitymedian $128,825 · 10th–90th $81,283–$218,7760%10%10th90th$128,825$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
$89,125.09 / $134,896.29 / $288,403.15
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $93,325.43 / $128,824.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $114,815.36 / $173,780.08
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $85,113.80 / $100,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $100,000.00 / $151,356.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $104,712.85 / $141,253.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $104,712.85 / $154,881.66