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Pennsylvania rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Facilitymedian $14,125 · 10th–90th $7,244–$20,4170%10%10th90th$14,125$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
$8,317.64 / $14,791.08 / $20,892.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $15,848.93 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $14,125.38 / $21,877.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $19,054.61
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $15,135.61 / $19,054.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $16,595.87 / $19,498.45
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,803.84 / $20,892.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $6,918.31 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $11,481.54 / $20,892.96