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Pennsylvania rates for MS-DRG 471

Cervical spinal fusion w MCC

Facilitymedian $77,625 · 10th–90th $40,738$112,2020%10%10th90th$77,625$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
$44,668.36 / $79,432.82 / $112,201.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $93,325.43 / $134,896.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $72,443.60 / $102,329.30
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85,113.80 / $85,113.80 / $102,329.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $77,624.71 / $95,499.26
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $81,283.05 / $169,824.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $77,624.71 / $112,201.85
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $38,904.51 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $60,255.96 / $112,201.85