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Pennsylvania rates for MS-DRG 229

Other cardiothoracic procedures w/o MCC

Facilitymedian $51,286 · 10th–90th $28,184–$87,0960%10%10th90th$51,286$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
$29,512.09 / $52,480.75 / $89,125.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $83,176.38 / $112,201.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $51,286.14 / $77,624.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $54,954.09 / $67,608.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $51,286.14 / $64,565.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $63,095.73 / $89,125.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $51,286.14 / $77,624.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $25,703.96 / $43,651.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $42,657.95 / $74,131.02