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Pennsylvania rates for MS-DRG 199

Pneumothorax With Mcc

Facilitymedian $28,840 · 10th–90th $14,454–$41,6870%10%10th90th$28,840$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
$16,218.10 / $29,512.09 / $41,686.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $34,673.69 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $27,542.29 / $37,153.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $38,018.94
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $29,512.09 / $35,481.34
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $26,915.35 / $38,904.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $28,183.83 / $40,738.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,454.40 / $23,988.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $22,908.68 / $41,686.94