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Pennsylvania rates for MS-DRG 090

Concussion Without Cc/Mcc

Facilitymedian $13,490 · 10th–90th $7,413–$19,0550%10%10th90th$13,490$2.0K$5.0K$10.0K$20.0K

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
$7,762.47 / $13,489.63 / $19,498.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,135.61 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $13,182.57 / $19,952.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $14,454.40 / $17,782.79
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $14,454.40 / $17,782.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,498.45 / $28,183.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,589.25 / $19,054.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $7,079.46 / $9,772.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $10,471.29 / $19,054.61