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Pennsylvania rates for MS-DRG 231

Coronary Bypass With Ptca With Mcc

Facilitymedian $134,896 · 10th–90th $70,795–$199,5260%10%10th90th$134,896$2.0K$10.0K$50.0K$200.0K$1.0M

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
$77,624.71 / $138,038.43 / $199,526.23
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $151,356.12 / $229,086.77
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $131,825.67 / $177,827.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147,910.84 / $147,910.84 / $181,970.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $134,896.29 / $169,824.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $147,910.84 / $223,872.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $134,896.29 / $194,984.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $70,794.58 / $120,226.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $102,329.30 / $194,984.46