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Pennsylvania rates for MS-DRG 413

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

Facilitymedian $26,915 · 10th–90th $14,125–$38,9050%10%10th90th$26,915$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
$15,488.17 / $27,542.29 / $39,810.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,113.11 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $26,915.35 / $40,738.03
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $35,481.34
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $27,542.29 / $33,884.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $33,884.42 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $26,915.35 / $38,904.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $13,489.63 / $17,782.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $21,379.62 / $38,904.51