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Pennsylvania rates for MS-DRG 196

Interstitial Lung Disease With Mcc

Facilitymedian $30,903 · 10th–90th $16,218–$43,6520%10%10th90th$30,903$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$17,782.79 / $30,902.95 / $44,668.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $31,622.78 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $28,840.32 / $39,810.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $33,113.11 / $40,738.03
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $31,622.78 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $34,673.69 / $50,118.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,840.32 / $43,651.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,135.61 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $23,988.33 / $44,668.36