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Pennsylvania rates for MS-DRG 438

Disorders of pancreas except malignancy w MCC

Facilitymedian $26,915 · 10th–90th $14,791–$38,0190%10%10th90th$26,915$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
$14,791.08 / $26,915.35 / $38,904.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $32,359.37 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $26,302.68 / $36,307.81
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $34,673.69
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $26,915.35 / $33,113.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $30,902.95 / $48,977.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $26,915.35 / $38,018.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $13,489.63 / $23,442.29
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $20,892.96 / $38,018.94