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Pennsylvania rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Facilitymedian $33,884 · 10th–90th $18,621–$48,9780%10%10th90th$33,884$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
$19,498.45 / $34,673.69 / $48,977.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $39,810.72 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $33,113.11 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $36,307.81 / $44,668.36
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $33,884.42 / $41,686.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $33,113.11 / $61,659.50
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $33,884.42 / $47,863.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $18,620.87 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $26,915.35 / $47,863.01