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Pennsylvania rates for MS-DRG 307

Cardiac congenital & valvular disorders w/o MCC

Facilitymedian $14,791 · 10th–90th $8,128–$20,8930%10%10th90th$14,791$2.0K$5.0K$10.0K$20.0K

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
$8,511.38 / $15,135.61 / $21,379.62
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $15,848.93 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $14,791.08 / $22,387.21
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $16,218.10 / $19,498.45
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $15,488.17 / $19,498.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $23,442.29 / $42,657.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $14,125.38 / $20,892.96
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $7,762.47 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $11,748.98 / $21,379.62