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Pennsylvania rates for MS-DRG 331

Major Small And Large Bowel Procedures Without Cc/Mcc

Facilitymedian $27,542 · 10th–90th $15,136$39,8110%10%10th90th$27,542$2.0K$5.0K$10.0K$20.0K$50.0K

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
$15,488.17 / $28,183.83 / $39,810.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $32,359.37 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $26,915.35 / $40,738.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $36,307.81
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $28,183.83 / $33,884.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $28,183.83 / $39,810.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $27,542.29 / $38,904.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $13,182.57 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $21,877.62 / $39,810.72