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Pennsylvania rates for MS-DRG 347

Anal & stomal procedures w MCC

Facilitymedian $38,019 · 10th–90th $20,893–$54,9540%10%10th90th$38,019$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
$21,379.62 / $38,018.94 / $56,234.13
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $46,773.51 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $37,153.52 / $50,118.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $48,977.88
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $38,018.94 / $46,773.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $51,286.14 / $75,857.76
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $37,153.52 / $53,703.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $19,952.62 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $29,512.09 / $53,703.18