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New York rates for MS-DRG 221

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

Facilitymedian $128,825 · 10th–90th $48,978–$194,9840%10%10th90th$128,825$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
$39,810.72 / $109,647.82 / $194,984.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $158,489.32 / $208,929.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $141,253.75 / $181,970.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $123,026.88 / $316,227.77
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $100,000.00 / $165,958.69