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California rates for MS-DRG 266

Endovascular cardiac valve replacement & supplement procedures w MCC

Facilitymedian $147,911 · 10th–90th $46,774–$281,8380%20%10th90th$147,911$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $128,824.96 / $288,403.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $151,356.12 / $281,838.29
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $95,499.26 / $281,838.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $104,712.85 / $263,026.80
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $208.93 / $66,069.34
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$218,776.16 / $218,776.16 / $218,776.16
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $114,815.36 / $281,838.29
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269,153.48 / $269,153.48 / $269,153.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $75,857.76 / $245,470.89