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Other Cardiothoracic Procedures with Major Complications

California rates for MS-DRG 228

Other Cardiothoracic Procedures with MCC

Rates data updated July 2026.

How much does Other Cardiothoracic Procedures with Major Complications cost?

$120,226

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $120,226 for this service. Most negotiated rates run $63,096 to $204,174.

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 $120,226 · 10th to 90th $46,774 to $213,796
$500$2K$10K$50K$200Kfacility $120,226

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
$46,773.51
Median
$95,499.26
Typical High
$194,984.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$138,038.43
Typical High
$213,796.21
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$81,283.05
Typical High
$223,872.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$91,201.08
Typical High
$208,929.61
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$67,608.30
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$177,827.94
Median
$177,827.94
Typical High
$177,827.94
Providence
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$97,723.72
Typical High
$229,086.77
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$131,825.67
Median
$131,825.67
Typical High
$131,825.67
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$67,608.30
Typical High
$173,780.08

Where California sits

The same service costs 6.0 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.

California· 6th of 51

$120,226

NY $128,825MI $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.