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Pennsylvania rates for MS-DRG 235

Coronary bypass w/o cardiac cath w MCC

Facilitymedian $95,499 · 10th–90th $52,481–$138,0380%10%10th90th$95,499$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
$53,703.18 / $97,723.72 / $138,038.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $112,201.85 / $162,181.01
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $93,325.43 / $131,825.67
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $102,329.30 / $125,892.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $95,499.26 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $95,499.26 / $134,896.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $95,499.26 / $138,038.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $47,863.01 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $74,131.02 / $134,896.29