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Pennsylvania rates for MS-DRG 351

Inguinal & femoral hernia procedures w CC

Facilitymedian $25,119 · 10th–90th $13,804–$35,4810%10%10th90th$25,119$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
$14,454.40 / $25,118.86 / $35,481.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $26,915.35 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $24,547.09 / $37,153.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $32,359.37
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $25,703.96 / $30,902.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $23,988.33 / $43,651.58
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,988.33 / $35,481.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,302.69 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,498.45 / $35,481.34