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Pennsylvania rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Facilitymedian $60,256 · 10th–90th $33,113–$85,1140%10%10th90th$60,256$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
$33,884.42 / $60,255.96 / $85,113.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $60,255.96 / $93,325.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $54,954.09 / $77,624.71
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $79,432.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $60,255.96 / $72,443.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $54,954.09 / $97,723.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $56,234.13 / $85,113.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $30,199.52 / $52,480.75
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $46,773.51 / $85,113.80