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Pennsylvania rates for MS-DRG 422

Hepatobiliary diagnostic procedures w/o CC/MCC

Facilitymedian $22,909 · 10th–90th $12,589–$32,3590%10%10th90th$22,909$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
$13,182.57 / $22,908.68 / $33,113.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $26,302.68 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $22,387.21 / $33,884.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $24,547.09 / $30,199.52
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $23,442.29 / $28,840.32
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $33,884.42 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $21,877.62 / $32,359.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,022.64 / $19,952.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $18,197.01 / $33,113.11