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Pennsylvania rates for MS-DRG 424

Other hepatobiliary or pancreas O.R. procedures w CC

Facilitymedian $36,308 · 10th–90th $19,953–$52,4810%10%10th90th$36,308$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
$20,417.38 / $36,307.81 / $52,480.75
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $43,651.58 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $35,481.34 / $47,863.01
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $38,904.51 / $46,773.51
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $36,307.81 / $43,651.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $46,773.51 / $67,608.30
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $35,481.34 / $51,286.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $21,877.62 / $34,673.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $28,183.83 / $51,286.14