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Pennsylvania rates for MS-DRG 001

Heart transplant or implant of heart assist system w MCC

Facilitymedian $457,088 · 10th–90th $245,471$645,6540%10%10th90th$457,088$2.0K$10.0K$50.0K$200.0K$1.0M

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
$257,039.58 / $467,735.14 / $660,693.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $512,861.38 / $794,328.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489,778.82 / $489,778.82 / $602,559.59
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $446,683.59 / $562,341.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354,813.39 / $501,187.23 / $912,010.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251,188.64 / $436,515.83 / $645,654.23
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194,984.46 / $229,086.77 / $398,107.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $354,813.39 / $630,957.34