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Cardiac Congenital and Valvular Disorders (with MCC)

Pennsylvania 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?

$23,988

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $16,596 to $29,512.

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 $23,988 · 10th to 90th $13,183 to $33,113
$5K$10K$20K$50Kfacility $23,988

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
$14,454.40
Median
$25,703.96
Typical High
$33,113.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,183.83
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$25,118.86
Typical High
$33,113.11
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$33,884.42
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$26,302.68
Typical High
$33,113.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$29,512.09
Typical High
$57,543.99
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$23,988.33
Typical High
$33,113.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$15,135.61
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$19,952.62
Typical High
$37,153.52

Where Pennsylvania 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.

Pennsylvania· 29th of 51

$23,988

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.