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Pennsylvania rates for MS-DRG 445

Disorders of the biliary tract w CC

Facilitymedian $17,783 · 10th–90th $9,772–$25,7040%10%10th90th$17,783$2.0K$5.0K$10.0K$20.0K$50.0K

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
$10,000.00 / $18,197.01 / $25,703.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $20,892.96 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $17,782.79 / $28,183.83
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $19,498.45 / $23,442.29
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $18,620.87 / $22,908.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $18,197.01 / $26,915.35
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $17,378.01 / $25,118.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $9,120.11 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $14,125.38 / $25,703.96