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Pennsylvania rates for MS-DRG 397

Appendix procedures w MCC

Facilitymedian $39,811 · 10th–90th $21,878$57,5440%10%10th90th$39,811$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 / $39,810.72 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $43,651.58 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $38,904.51 / $52,480.75
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $51,286.14
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $39,810.72 / $47,863.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $37,153.52 / $50,118.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $38,018.94 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $32,359.37 / $56,234.13