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Pennsylvania rates for MS-DRG 383

Uncomplicated Peptic Ulcer With Mcc

Facilitymedian $22,387 · 10th–90th $11,482–$31,6230%10%10th90th$22,387$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
$12,882.50 / $22,908.68 / $32,359.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $25,118.86 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $22,387.21 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $29,512.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $22,908.68 / $28,183.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $31,622.78 / $41,686.94
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $20,892.96 / $31,622.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $10,232.93 / $13,489.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $17,782.79 / $32,359.37