go back

Pennsylvania rates for MS-DRG 264

Other Circulatory System O.R. Procedures

Facilitymedian $52,481 · 10th–90th $28,184–$77,6250%10%10th90th$52,481$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
$31,622.78 / $54,954.09 / $77,624.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $54,954.09 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $50,118.72 / $74,131.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $58,884.37 / $70,794.58
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $54,954.09 / $67,608.30
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $45,708.82 / $100,000.00
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $52,480.75 / $77,624.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $28,183.83 / $48,977.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $42,657.95 / $77,624.71