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Pennsylvania rates for MS-DRG 474

Amputation for musculoskeletal sys & conn tissue dis w MCC

Facilitymedian $70,795 · 10th–90th $38,905–$97,7240%10%10th90th$70,795$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
$38,904.51 / $70,794.58 / $100,000.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $70,794.58 / $109,647.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $64,565.42 / $95,499.26
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $75,857.76 / $91,201.08
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $69,183.10 / $87,096.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61,659.50 / $72,443.60 / $93,325.43
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $66,069.34 / $97,723.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $42,657.95 / $69,183.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $54,954.09 / $100,000.00