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Pennsylvania rates for MS-DRG 039

Extracranial procedures w/o CC/MCC

Facilitymedian $19,498 · 10th–90th $10,715–$27,5420%10%10th90th$19,498$2.0K$5.0K$10.0K$20.0K$50.0K

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
$10,964.78 / $19,498.45 / $27,542.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $20,892.96 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $19,054.61 / $28,840.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $25,118.86
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $19,952.62 / $24,547.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $24,547.09 / $36,307.81
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $17,782.79 / $26,915.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $9,120.11 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $15,488.17 / $28,183.83