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Pennsylvania rates for MS-DRG 085

Traumatic Stupor And Coma <1 Hour With Mcc

Facilitymedian $37,154 · 10th–90th $20,417–$52,4810%10%10th90th$37,154$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
$21,379.62 / $37,153.52 / $53,703.18
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $41,686.94 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $34,673.69 / $47,863.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $39,810.72 / $48,977.88
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $38,018.94 / $46,773.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $38,018.94 / $51,286.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $37,153.52 / $52,480.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $19,054.61 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $29,512.09 / $53,703.18