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Pennsylvania rates for MS-DRG 233

Coronary bypass w cardiac cath or open ablation w MCC

Facilitymedian $123,027 · 10th–90th $63,096–$177,8280%10%10th90th$123,027$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
$69,183.10 / $125,892.54 / $177,827.94
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $141,253.75 / $213,796.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $123,026.88 / $165,958.69
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134,896.29 / $134,896.29 / $162,181.01
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $123,026.88 / $151,356.12
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72,443.60 / $107,151.93 / $151,356.12
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $123,026.88 / $177,827.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $63,095.73 / $91,201.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $95,499.26 / $177,827.94