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Pennsylvania rates for MS-DRG 427

Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc

Facilitymedian $120,226 · 10th–90th $64,565–$173,7800%10%10th90th$120,226$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$66,069.34 / $120,226.44 / $173,780.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $141,253.75 / $190,546.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $109,647.82 / $151,356.12
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125,892.54 / $125,892.54 / $154,881.66
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $117,489.76 / $144,543.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $109,647.82 / $151,356.12
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $109,647.82 / $169,824.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $93,325.43 / $169,824.37