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Pennsylvania rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Facilitymedian $20,417 · 10th–90th $11,220–$28,8400%10%10th90th$20,417$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
$11,220.18 / $20,417.38 / $28,840.32
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $24,547.09 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $19,952.62 / $28,183.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $21,877.62 / $26,302.68
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $20,892.96 / $25,703.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $20,892.96 / $35,481.34
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $20,417.38 / $28,183.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $10,232.93 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $15,848.93 / $28,840.32