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Pennsylvania rates for MS-DRG 458

Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions Without Cc/Mcc

Facilitymedian $67,608 · 10th–90th $37,154–$104,7130%10%10th90th$67,608$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
$38,018.94 / $69,183.10 / $104,712.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $97,723.72 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $63,095.73 / $91,201.08
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $89,125.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $67,608.30 / $83,176.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $102,329.30 / $141,253.75
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $67,608.30 / $97,723.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $36,307.81 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $54,954.09 / $97,723.72