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Pennsylvania rates for MS-DRG 275

Cardiac defibrillator implant w cardiac catheterization & MCC

Facilitymedian $117,490 · 10th–90th $64,565–$173,7800%10%10th90th$117,490$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
$67,608.30 / $117,489.76 / $173,780.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $134,896.29 / $190,546.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $114,815.36 / $173,780.08
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125,892.54 / $125,892.54 / $151,356.12
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $114,815.36 / $138,038.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $134,896.29 / $169,824.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $117,489.76 / $169,824.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $93,325.43 / $165,958.69