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Other Cardiothoracic Procedures with Major Complications

New York 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?

$128,825

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $128,825 for this service. Most negotiated rates run $85,114 to $162,181.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $128,825 · 10th to 90th $51,286 to $194,984
$2.0K$10.0K$50.0K$200.0Kfacility $128,825

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
$38,904.51
Median
$102,329.30
Typical High
$194,984.46
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$104,712.85
Median
$162,181.01
Typical High
$204,173.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$87,096.36
Median
$138,038.43
Typical High
$177,827.94
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$123,026.88
Typical High
$245,470.89
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$104,712.85
Typical High
$181,970.09

Where New York sits

The same service costs 6.0 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $128,825 · 1st of 51
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.