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Pennsylvania rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Facilitymedian $38,905 · 10th–90th $21,380–$53,7030%10%10th90th$38,905$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
$21,877.62 / $38,904.51 / $54,954.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $38,904.51 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $37,153.52 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $41,686.94 / $50,118.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $38,904.51 / $47,863.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $38,018.94 / $48,977.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $36,307.81 / $53,703.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $19,952.62 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $29,512.09 / $54,954.09