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Pennsylvania rates for MS-DRG 410

Biliary tract proc except only cholecyst w or w/o c.d.e. w/o CC/MCC

Facilitymedian $26,303 · 10th–90th $14,125–$37,1540%10%10th90th$26,303$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
$14,791.08 / $26,302.68 / $37,153.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $32,359.37 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $25,703.96 / $38,904.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $28,183.83 / $33,884.42
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $26,302.68 / $32,359.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $40,738.03 / $47,863.01
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $25,703.96 / $36,307.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,302.69 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $20,417.38 / $37,153.52