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Pennsylvania rates for MS-DRG 459

Spinal fusion except cervical w MCC

Facilitymedian $56,234 · 10th–90th $1,995$165,9590%5%10%10th90th$56,234$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
$46,773.51 / $165,958.69 / $213,796.21
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $95,499.26 / $128,824.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $36,307.81 / $85,113.80