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Pennsylvania rates for MS-DRG 358

Other digestive system O.R. procedures w/o CC/MCC

Facilitymedian $22,909 · 10th–90th $12,023–$33,1130%10%10th90th$22,909$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
$13,182.57 / $23,442.29 / $33,113.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $26,915.35 / $36,307.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $22,387.21 / $33,884.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $30,199.52
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $23,442.29 / $28,840.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $25,703.96 / $38,904.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $22,908.68 / $32,359.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $18,197.01 / $32,359.37