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Other Cardiothoracic Procedures with Major Complications

California rates for MS-DRG 228

Other Cardiothoracic Procedures with MCC

Rates data updated October 2026.

How much does Other Cardiothoracic Procedures with Major Complications cost?

$97,724

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $69,183 to $151,356.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $97,724 · 10th to 90th $35,481 to $213,796
$1K$10K$100Kfacility $97,724

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$46,773.51
Median
$85,113.80
Typical High
$194,984.46
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$63,095.73
Median
$125,892.54
Typical High
$218,776.16
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$97,723.72
Typical High
$218,776.16
Cigna
Setting
Facility
Modifier
None
Typical Low
$54,954.09
Median
$100,000.00
Typical High
$199,526.23
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$38,018.94
Typical High
$134,896.29
Providence
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$100,000.00
Typical High
$218,776.16
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$131,825.67
Median
$131,825.67
Typical High
$131,825.67
United
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$69,183.10
Typical High
$158,489.32

Where California sits

The same service costs 467.7 times more in Alaska than in Hawaii. 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· 13th of 51

$97,724

AK $128,825HI $275

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.