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Pennsylvania rates for MS-DRG 330

Major small & large bowel procedures w CC

Facilitymedian $38,905 · 10th–90th $20,417$57,5440%10%10th90th$38,905$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
$22,387.21 / $39,810.72 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $50,118.72 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $38,904.51 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $51,286.14
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $39,810.72 / $47,863.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $39,810.72 / $54,954.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,904.51 / $56,234.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $19,054.61 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $30,902.95 / $56,234.13