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Pennsylvania rates for MS-DRG 326

Stomach, esophageal & duodenal proc w MCC

Facilitymedian $81,283 · 10th–90th $44,668–$117,4900%10%10th90th$81,283$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
$46,773.51 / $83,176.38 / $120,226.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $102,329.30 / $144,543.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $75,857.76 / $107,151.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87,096.36 / $87,096.36 / $107,151.93
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $81,283.05 / $97,723.72
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $85,113.80 / $147,910.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $81,283.05 / $117,489.76
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $41,686.94 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $64,565.42 / $117,489.76