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Pennsylvania rates for MS-DRG 421

Hepatobiliary diagnostic procedures w CC

Facilitymedian $28,184 · 10th–90th $15,136$40,7380%10%10th90th$28,184$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
$16,218.10 / $28,840.32 / $40,738.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $35,481.34 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $28,183.83 / $42,657.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $37,153.52
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $28,840.32 / $36,307.81
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $36,307.81 / $39,810.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $28,183.83 / $39,810.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,882.50 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $22,387.21 / $40,738.03