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Pennsylvania rates for MS-DRG 221

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

Facilitymedian $81,283 · 10th–90th $41,687–$117,4900%10%10th90th$81,283$2.0K$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
$45,708.82 / $83,176.38 / $120,226.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $87,096.36 / $123,026.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $81,283.05 / $123,026.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89,125.09 / $89,125.09 / $107,151.93
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $75,857.76 / $100,000.00
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $77,624.71 / $114,815.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $77,624.71 / $117,489.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $37,153.52 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $64,565.42 / $117,489.76