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Pennsylvania rates for MS-DRG 357

Other digestive system O.R. procedures w CC

Facilitymedian $38,019 · 10th–90th $19,055–$53,7030%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
$21,877.62 / $38,018.94 / $54,954.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $42,657.95 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $37,153.52 / $48,977.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $50,118.72
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
$22,387.21 / $38,018.94 / $66,069.34
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $38,018.94 / $53,703.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $18,197.01 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $29,512.09 / $54,954.09