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Cardiac Congenital and Valvular Disorders (with MCC)

Illinois rates for MS-DRG 306

Cardiac Congenital and Valvular Disorders with MCC

Rates data updated July 2026.

How much does Cardiac Congenital and Valvular Disorders (with MCC) cost?

$18,197

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $15,136 to $21,878.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $18,197 · 10th to 90th $363 to $26,303
$200$500$1K$2K$5K$10K$20Kfacility $18,197

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
$15,488.17
Median
$20,417.38
Typical High
$26,302.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$17,782.79
Typical High
$26,302.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$17,782.79
Typical High
$31,622.78
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$199.53
Typical High
$295.12
United
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$19,054.61
Typical High
$28,183.83

Where Illinois sits

The same service costs 5.5 times more in Montana than in New Mexico. 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.

Illinois· 41st of 51

$18,197

MT $72,444NM $13,183

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.