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Pennsylvania rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Facilitymedian $48,978 · 10th–90th $27,542–$70,7950%10%10th90th$48,978$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
$27,542.29 / $48,977.88 / $70,794.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $58,884.37 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $47,863.01 / $72,443.60
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $63,095.73
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $48,977.88 / $60,255.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $53,703.18 / $74,131.02
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $46,773.51 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $39,810.72 / $69,183.10