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Pennsylvania rates for MS-DRG 251

Percutaneous cardiovasc procedure w/o intraluminal device w/o MCC

Facilitymedian $24,547 · 10th–90th $13,490–$41,6870%10%10th90th$24,547$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
$14,125.38 / $24,547.09 / $43,651.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,113.11 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $23,988.33 / $39,810.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $32,359.37
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $25,118.86 / $30,199.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $35,481.34 / $48,977.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $24,547.09 / $35,481.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $13,182.57 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,952.62 / $35,481.34