go back

Pennsylvania rates for MS-DRG 463

Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders With Mcc

Facilitymedian $93,325 · 10th–90th $51,286$131,8260%10%10th90th$93,325$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
$52,480.75 / $93,325.43 / $134,896.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $97,723.72 / $144,543.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $85,113.80 / $120,226.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100,000.00 / $100,000.00 / $123,026.88
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $93,325.43 / $114,815.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $112,201.85 / $151,356.12
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $87,096.36 / $131,825.67
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $50,118.72 / $83,176.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $72,443.60 / $134,896.29