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Coronary Bypass with PTCA with Major Complications

California rates for MS-DRG 231

Coronary Bypass with PTCA with MCC

Rates data updated July 2026.

How much does Coronary Bypass with PTCA with Major Complications cost?

$186,209

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $186,209 for this service. Most negotiated rates run $63,096 to $295,121.

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 $186,209 · 10th to 90th $46,774 to $301,995
$5K$10K$20K$50K$100K$200Kfacility $186,209

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
$47,863.01
Median
$109,647.82
Typical High
$281,838.29
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$208,929.61
Typical High
$301,995.17
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100,000.00
Typical High
$323,593.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$141,253.75
Typical High
$301,995.17
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$213.80
Typical High
$57,543.99
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$301,995.17
Median
$301,995.17
Typical High
$301,995.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$147,910.84
Typical High
$316,227.77
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$177,827.94
Median
$177,827.94
Typical High
$177,827.94
United
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$79,432.82
Typical High
$275,422.87

Where California sits

The same service costs 10.2 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· 7th of 51

$186,209

NY $218,776MI $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.