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Pennsylvania rates for MS-DRG 145

Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc

Facilitymedian $19,498 · 10th–90th $10,715–$27,5420%10%10th90th$19,498$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
$10,964.78 / $19,952.62 / $28,183.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,442.29 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $19,498.45 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $25,703.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $18,197.01 / $25,118.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,988.33 / $33,113.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $19,054.61 / $27,542.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $10,000.00 / $16,982.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $15,848.93 / $28,183.83