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Pennsylvania rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Facilitymedian $58,884 · 10th–90th $32,359–$83,1760%10%10th90th$58,884$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
$33,113.11 / $60,255.96 / $85,113.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $61,659.50 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $54,954.09 / $75,857.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $77,624.71
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $58,884.37 / $72,443.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $48,977.88 / $60,255.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $56,234.13 / $83,176.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $29,512.09 / $50,118.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $46,773.51 / $85,113.80