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Pennsylvania rates for MS-DRG 142

Major head & neck procedures w/o CC/MCC

Facilitymedian $26,303 · 10th–90th $14,454–$36,3080%10%10th90th$26,303$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
$14,454.40 / $26,302.68 / $37,153.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $29,512.09 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,703.96 / $38,904.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $33,884.42
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $26,915.35 / $32,359.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $34,673.69 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $25,118.86 / $36,307.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $13,803.84 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $21,379.62 / $37,153.52