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Pennsylvania rates for MS-DRG 036

Carotid artery stent procedure w/o CC/MCC

Facilitymedian $31,623 · 10th–90th $17,378–$44,6680%10%10th90th$31,623$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
$18,197.01 / $32,359.37 / $45,708.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,113.11 / $50,118.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $31,622.78 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $41,686.94
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $32,359.37 / $38,904.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $36,307.81 / $58,884.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $29,512.09 / $44,668.36
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $15,848.93 / $26,302.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $24,547.09 / $45,708.82