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Pennsylvania rates for MS-DRG 293

Heart Failure And Shock Without Cc/Mcc

Facilitymedian $9,333 · 10th–90th $5,129–$14,4540%10%10th90th$9,333$2.0K$10.0K$50.0K$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
$5,370.32 / $9,332.54 / $14,454.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $13,182.57 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $9,120.11 / $13,803.84
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $10,000.00 / $12,022.64
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,471.29 / $12,882.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $10,000.00 / $616,595.00
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $9,332.54 / $13,489.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $4,786.30 / $7,762.47
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,388.44 / $7,244.36 / $13,182.57