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Pennsylvania rates for MS-DRG 425

Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc

Facilitymedian $24,547 · 10th–90th $13,490–$35,4810%10%10th90th$24,547$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
$14,125.38 / $24,547.09 / $35,481.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $29,512.09 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $23,988.33 / $36,307.81
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $32,359.37
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $25,118.86 / $30,902.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $30,902.95 / $30,902.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $23,988.33 / $34,673.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $12,589.25 / $21,877.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,498.45 / $35,481.34