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Other Circulatory System Operating Room Procedures

California rates for MS-DRG 264

Other Circulatory System O.R. Procedures

Rates data updated July 2026.

How much does Other Circulatory System Operating Room Procedures cost?

$81,283

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $50,119 to $112,202.

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 $81,283 · 10th to 90th $10,715 to $141,254
$1K$10K$100Kfacility $81,283

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
$51,286.14
Median
$77,624.71
Typical High
$131,825.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$83,176.38
Typical High
$141,253.75
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$56,234.13
Typical High
$114,815.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$67,608.30
Typical High
$120,226.44
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$120,226.44
Median
$120,226.44
Typical High
$120,226.44
Providence
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$75,857.76
Typical High
$134,896.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$58,884.37
Typical High
$128,824.96

Where California sits

The same service costs 4.1 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· 4th of 51

$81,283

NY $87,096MI $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.