go back

Pennsylvania rates for MS-DRG 028

Spinal Procedures With Mcc

Facilitymedian $97,724 · 10th–90th $50,119–$138,0380%10%10th90th$97,724$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$56,234.13 / $100,000.00 / $141,253.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $107,151.93 / $158,489.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $91,201.08 / $128,824.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $107,151.93 / $128,824.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $97,723.72 / $117,489.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $97,723.72 / $165,958.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $91,201.08 / $138,038.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $48,977.88 / $79,432.82
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $74,131.02 / $141,253.75