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Pennsylvania rates for MS-DRG 456

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With Mcc

Facilitymedian $138,038 · 10th–90th $74,131–$199,5260%10%10th90th$138,038$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
$77,624.71 / $138,038.43 / $204,173.79
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $173,780.08 / $234,422.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63,095.73 / $125,892.54 / $177,827.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147,910.84 / $147,910.84 / $181,970.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $134,896.29 / $169,824.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $186,208.71 / $213,796.21
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $138,038.43 / $194,984.46
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $67,608.30 / $97,723.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $104,712.85 / $194,984.46