go back

Pennsylvania rates for MS-DRG 016

Major Chest Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,274.50 / $96,944.70 / $132,386.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,639.91 / $110,372.01 / $164,219.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,709.60 / $97,709.60 / $118,647.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,246.30 / $227,974.40 / $370,000.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,474.00 / $94,875.20 / $132,386.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $45,937.12 / $67,081.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,579.03 / $81,646.03 / $135,576.66