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Pennsylvania rates for MS-DRG 430

Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc

Facilitymedian $95,499 · 10th–90th $52,481–$138,0380%10%10th90th$95,499$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
$52,480.75 / $95,499.26 / $138,038.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $107,151.93 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $87,096.36 / $120,226.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $102,329.30 / $123,026.88
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $93,325.43 / $112,201.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $81,283.05 / $158,489.32
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $91,201.08 / $134,896.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $75,857.76 / $134,896.29