go back

Pennsylvania rates for MS-DRG 413

Cholecystectomy w c.d.e. w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,668.50 / $27,375.00 / $38,151.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,196.00 / $30,595.30 / $44,154.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,381.59 / $25,138.31 / $36,942.80
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,361.72 / $27,361.72 / $33,224.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,227.82 / $34,968.57 / $47,085.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,974.40 / $27,147.50 / $37,810.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,529.07 / $22,449.96 / $35,045.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,020.70 / $18,476.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $21,076.73 / $34,912.01