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Pennsylvania rates for MS-DRG 030

Spinal procedures w/o CC/MCC

Facilitymedian $35,481 · 10th–90th $19,953–$50,1190%10%10th90th$35,481$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$20,417.38 / $36,307.81 / $51,286.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $36,307.81 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $34,673.69 / $46,773.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $38,904.51 / $46,773.51
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $36,307.81 / $44,668.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $34,673.69 / $44,668.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $33,884.42 / $50,118.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $17,782.79 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $28,840.32 / $51,286.14