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Pennsylvania rates for MS-DRG 166

Other resp system O.R. procedures w MCC

Facilitymedian $61,660 · 10th–90th $33,884–$87,0960%10%10th90th$61,660$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
$35,481.34 / $61,659.50 / $87,096.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $69,183.10 / $102,329.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $56,234.13 / $81,283.05
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $79,432.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $61,659.50 / $74,131.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $54,954.09 / $100,000.00
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $61,659.50 / $85,113.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $33,884.42 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $47,863.01 / $87,096.36