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Pennsylvania rates for MS-DRG 472

Cervical spinal fusion w CC

Facilitymedian $47,863 · 10th–90th $25,119–$69,1830%10%10th90th$47,863$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$27,542.29 / $48,977.88 / $70,794.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $54,954.09 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $44,668.36 / $61,659.50
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $52,480.75 / $63,095.73
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $47,863.01 / $58,884.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $47,863.01 / $64,565.42
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $45,708.82 / $67,608.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $23,442.29 / $38,904.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $38,018.94 / $69,183.10