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Pennsylvania rates for MS-DRG 428

Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc

Facilitymedian $93,325 · 10th–90th $51,286–$134,8960%10%10th90th$93,325$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
$51,286.14 / $93,325.43 / $134,896.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $109,647.82 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $85,113.80 / $117,489.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $120,226.44
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $91,201.08 / $109,647.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $97,723.72 / $134,896.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $85,113.80 / $131,825.67
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $74,131.02 / $131,825.67