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Pennsylvania rates for MS-DRG 450

Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody Fusion Device

Facilitymedian $87,096 · 10th–90th $48,978–$128,8250%10%10th90th$87,096$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
$48,977.88 / $87,096.36 / $128,824.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $100,000.00 / $141,253.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $81,283.05 / $112,201.85
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93,325.43 / $93,325.43 / $114,815.36
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $87,096.36 / $107,151.93
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $89,125.09 / $147,910.84
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $81,283.05 / $125,892.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $69,183.10 / $125,892.54