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Washington rates for MS-DRG 221

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

Facilitymedian $120,226 · 10th–90th $70,795–$208,9300%10%20%10th90th$120,226$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
$85,113.80 / $128,824.96 / $269,153.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $83,176.38 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $109,647.82 / $165,958.69
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $77,624.71 / $81,283.05
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $87,096.36 / $131,825.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $91,201.08 / $123,026.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $100,000.00 / $144,543.98