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Cardiac Congenital and Valvular Disorders (without MCC)

Pennsylvania 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?

$13,490

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $9,120 to $16,982.

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 $13,490 · 10th to 90th $7,586 to $19,055
$5K$10K$20Kfacility $13,490

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
$8,317.64
Median
$13,803.84
Typical High
$19,054.61
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,218.10
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$14,791.08
Typical High
$23,442.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,498.45
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$15,488.17
Typical High
$19,498.45
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$23,442.29
Typical High
$31,622.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$19,054.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,709.64
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$11,748.98
Typical High
$21,379.62

Where Pennsylvania 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.

Pennsylvania· 30th of 51

$13,490

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.