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Pennsylvania rates for MS-DRG 088

Concussion w MCC

Facilitymedian $21,878 · 10th–90th $12,303–$32,3590%10%10th90th$21,878$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
$12,589.25 / $22,387.21 / $33,113.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $29,512.09 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $21,877.62 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $28,840.32
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $22,908.68 / $27,542.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $21,877.62 / $31,622.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $11,748.98 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $17,378.01 / $31,622.78