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Pennsylvania rates for MS-DRG 473

Cervical spinal fusion w/o CC/MCC

Facilitymedian $39,811 · 10th–90th $21,878$57,5440%10%10th90th$39,811$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
$22,908.68 / $40,738.03 / $57,543.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $41,686.94 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $38,904.51 / $51,286.14
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $52,480.75
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $39,810.72 / $48,977.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $44,668.36 / $58,884.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $37,153.52 / $56,234.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $18,620.87 / $26,302.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $31,622.78 / $57,543.99