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Pennsylvania rates for MS-DRG 457

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

Facilitymedian $97,724 · 10th–90th $48,978–$147,9110%10%10th90th$97,724$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
$54,954.09 / $100,000.00 / $147,910.84
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $123,026.88 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $89,125.09 / $125,892.54
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104,712.85 / $104,712.85 / $128,824.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $95,499.26 / $117,489.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $100,000.00 / $177,827.94
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $97,723.72 / $141,253.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $44,668.36 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $77,624.71 / $138,038.43