go back

Other Cardiothoracic Procedures with Major Complications

Pennsylvania 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?

$77,625

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $77,625 for this service. Most negotiated rates run $50,119 to $100,000.

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 $77,625 · 10th to 90th $39,811 to $131,826
$5K$10K$20K$50K$100K$200Kfacility $77,625

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
$83,176.38
Typical High
$131,825.67
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$138,038.43
Typical High
$181,970.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$83,176.38
Typical High
$123,026.88
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$87,096.36
Median
$87,096.36
Typical High
$104,712.85
Geisinger
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$67,608.30
Typical High
$117,489.76
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$81,283.05
Median
$117,489.76
Typical High
$165,958.69
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$83,176.38
Typical High
$138,038.43
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$44,668.36
Typical High
$77,624.71
United
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$70,794.58
Typical High
$109,647.82

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$77,625

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.