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Maine rates for MS-DRG 221

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

Facilitymedian $91,201 · 10th–90th $36,308$117,4900%20%10th90th$91,201$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $100,000.00 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $66,069.34 / $151,356.12
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42