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Other Circulatory System Operating Room Procedures

Pennsylvania 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?

$50,119

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $38,019 to $63,096.

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 $50,119 · 10th to 90th $30,200 to $70,795
$10K$20K$50K$100Kfacility $50,119

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
$30,902.95
Median
$50,118.72
Typical High
$70,794.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$56,234.13
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$50,118.72
Typical High
$74,131.02
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$70,794.58
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$54,954.09
Typical High
$67,608.30
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$44,668.36
Typical High
$100,000.00
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$50,118.72
Typical High
$70,794.58
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$37,153.52
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$42,657.95
Typical High
$77,624.71

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$50,119

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.