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Pennsylvania rates for MS-DRG 420

Hepatobiliary Diagnostic Procedures With Mcc

Facilitymedian $56,234 · 10th–90th $30,903–$79,4330%10%10th90th$56,234$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
$31,622.78 / $56,234.13 / $79,432.82
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $69,183.10 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $51,286.14 / $74,131.02
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $72,443.60
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $56,234.13 / $69,183.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $67,608.30 / $107,151.93
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $56,234.13 / $77,624.71
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $29,512.09 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $43,651.58 / $79,432.82