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Pennsylvania rates for MS-DRG 163

Major chest procedures w MCC

Facilitymedian $72,444 · 10th–90th $38,019$107,1520%10%10th90th$72,444$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$40,738.03 / $74,131.02 / $107,151.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $95,499.26 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $67,608.30 / $95,499.26
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $79,432.82 / $95,499.26
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $72,443.60 / $89,125.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $72,443.60 / $131,825.67
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $72,443.60 / $104,712.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $37,153.52 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $58,884.37 / $104,712.85