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Pennsylvania rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Facilitymedian $41,687 · 10th–90th $20,893–$58,8840%10%10th90th$41,687$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
$23,442.29 / $41,686.94 / $58,884.37
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $38,018.94 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $39,810.72 / $53,703.18
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $44,668.36 / $53,703.18
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $41,686.94 / $52,480.75
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $41,686.94 / $60,255.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $38,904.51 / $58,884.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $19,952.62 / $33,884.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $32,359.37 / $58,884.37