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California rates for MS-DRG 221

Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/Mcc

Facilitymedian $120,226 · 10th–90th $46,774–$177,8280%10%20%10th90th$120,226$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 / $158,489.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $125,892.54 / $181,970.09
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $85,113.80 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $87,096.36 / $165,958.69
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $67,608.30
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181,970.09 / $181,970.09 / $181,970.09
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $95,499.26 / $181,970.09
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $97,723.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $74,131.02 / $158,489.32