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Pennsylvania rates for MS-DRG 168

Other Respiratory System O.R. Procedures Without Cc/Mcc

Facilitymedian $22,387 · 10th–90th $11,482–$31,6230%10%10th90th$22,387$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
$12,882.50 / $22,908.68 / $32,359.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $26,302.68 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $21,877.62 / $33,113.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $29,512.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $22,908.68 / $28,183.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $28,840.32 / $43,651.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $22,387.21 / $31,622.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $17,782.79 / $31,622.78