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Cardiothoracic Procedures without Cath (without CC/MCC)

Pennsylvania 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?

$75,858

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $75,858 for this service. Most negotiated rates run $51,286 to $95,499.

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 $75,858 · 10th to 90th $40,738 to $112,202
$5K$10K$20K$50K$100Kfacility $75,858

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
$45,708.82
Median
$77,624.71
Typical High
$112,201.85
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$87,096.36
Typical High
$128,824.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$81,283.05
Typical High
$128,824.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$89,125.09
Median
$89,125.09
Typical High
$107,151.93
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$81,283.05
Typical High
$100,000.00
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$77,624.71
Typical High
$114,815.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$75,857.76
Typical High
$114,815.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$47,863.01
Typical High
$77,624.71
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$66,069.34
Typical High
$117,489.76

Where Pennsylvania 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.

Pennsylvania· 27th of 51

$75,858

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.