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Pennsylvania rates for MS-DRG 002

Heart transplant or implant of heart assist system w/o MCC

Facilitymedian $186,209 · 10th–90th $102,329$275,4230%10%10th90th$186,209$2.0K$10.0K$50.0K$200.0K

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
$104,712.85 / $186,208.71 / $275,422.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $275,422.87 / $436,515.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199,526.23 / $199,526.23 / $239,883.29
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $181,970.09 / $223,872.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $177,827.94 / $263,026.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $89,125.09 / $154,881.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $147,910.84 / $263,026.80