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Cardiac Congenital and Valvular Disorders (without MCC)

California rates for MS-DRG 307

Cardiac Congenital and Valvular Disorders without MCC

Rates data updated July 2026.

How much does Cardiac Congenital and Valvular Disorders (without MCC) cost?

$22,909

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $17,378 to $33,113.

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 $22,909 · 10th to 90th $12,303 to $38,019
$200$1K$5K$20Kfacility $22,909

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
$14,125.38
Median
$21,379.62
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$22,908.68
Typical High
$38,018.94
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$32,359.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$18,620.87
Typical High
$36,307.81
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
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$20,417.38
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$16,218.10
Typical High
$35,481.34

Where California sits

The same service costs 6.5 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.

California· 2nd of 51

$22,909

MT $48,978NM $7,586

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.