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Texas rates for MS-DRG 221

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

Facilitymedian $72,444 · 10th–90th $34,674–$117,4900%10%10th90th$72,444$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
$53,703.18 / $81,283.05 / $117,489.76
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $47,863.01 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $85,113.80 / $147,910.84
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181,970.09 / $181,970.09 / $181,970.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $72,443.60 / $102,329.30
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $70,794.58 / $162,181.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $52,480.75 / $123,026.88