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Pennsylvania rates for MS-DRG 455

Combined anterior/posterior spinal fusion w/o CC/MCC

Facilitymedian $57,544 · 10th–90th $2,512$107,1520%10%10th90th$57,544$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $134,896.29 / $199,526.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $79,432.82 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $38,018.94 / $61,659.50