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Pennsylvania rates for MS-DRG 152

Otitis media & URI w MCC

Facilitymedian $19,498 · 10th–90th $10,715$26,9150%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
$11,220.18 / $19,498.45 / $27,542.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $19,498.45 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $18,620.87 / $26,915.35
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $25,118.86
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $19,952.62 / $24,547.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,054.61 / $48,977.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $18,620.87 / $26,915.35
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,120.11 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $15,135.61 / $27,542.29