go back

Pennsylvania rates for MS-DRG 496

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

Facilitymedian $29,512 · 10th–90th $16,218–$42,6580%10%10th90th$29,512$2.0K$5.0K$10.0K$20.0K$50.0K

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
$16,595.87 / $30,199.52 / $42,657.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $35,481.34 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $28,183.83 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $31,622.78 / $38,904.51
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $30,199.52 / $37,153.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $30,902.95 / $42,657.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $29,512.09 / $41,686.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $16,595.87 / $28,183.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $23,442.29 / $42,657.95