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Pennsylvania rates for MS-DRG 040

Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc

Facilitymedian $63,096 · 10th–90th $31,623–$89,1250%10%10th90th$63,096$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
$36,307.81 / $64,565.42 / $91,201.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $75,857.76 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $58,884.37 / $81,283.05
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $83,176.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $63,095.73 / $75,857.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $63,095.73 / $97,723.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $63,095.73 / $89,125.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $30,199.52 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $50,118.72 / $91,201.08