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Cardiothoracic Procedures without Cath (without CC/MCC)

California rates for MS-DRG 221

Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization without CC/MCC

Rates data updated July 2026.

How much does Cardiothoracic Procedures without Cath (without CC/MCC) cost?

$120,226

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $120,226 for this service. Most negotiated rates run $63,096 to $162,181.

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 $120,226 · 10th to 90th $46,774 to $177,828
$500$2K$10K$50K$200Kfacility $120,226

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
$46,773.51
Median
$95,499.26
Typical High
$158,489.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$125,892.54
Typical High
$181,970.09
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$74,131.02
Typical High
$177,827.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$87,096.36
Typical High
$165,958.69
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$67,608.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$181,970.09
Median
$181,970.09
Typical High
$181,970.09
Providence
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$95,499.26
Typical High
$181,970.09
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$97,723.72
Typical High
$97,723.72
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$69,183.10
Typical High
$158,489.32

Where California sits

The same service costs 6.3 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.

California· 4th of 51

$120,226

NY $134,896MI $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.