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Pennsylvania rates for MS-DRG 197

Interstitial lung disease w CC

Facilitymedian $15,488 · 10th–90th $8,511$22,9090%10%10th90th$15,488$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
$8,912.51 / $15,848.93 / $22,908.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $20,417.38 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $15,135.61 / $23,442.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $16,595.87 / $20,417.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $16,218.10 / $19,952.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $18,197.01 / $26,302.68
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $15,488.17 / $22,387.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,128.31 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $12,302.69 / $22,387.21