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Massachusetts rates for MS-DRG 165

Major chest procedures w/o CC/MCC

Facilitymedian $30,200 · 10th–90th $13,183–$50,1190%10%10th90th$30,200$500.0$1.0K$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
$14,454.40 / $30,199.52 / $50,118.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $27,542.29 / $72,443.60
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,840.32 / $42,657.95
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $269.15 / $41,686.94
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $27,542.29 / $72,443.60
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $27,542.29 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $21,877.62 / $57,543.99