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Pennsylvania rates for MS-DRG 101

Seizures w/o MCC

Facilitymedian $14,791 · 10th–90th $8,128–$20,8930%10%10th90th$14,791$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
$8,317.64 / $14,791.08 / $21,379.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $16,218.10 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $14,454.40 / $21,877.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $19,498.45
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $15,848.93 / $19,054.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,489.63 / $19,054.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,803.84 / $20,892.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,943.28 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $11,481.54 / $20,892.96