go back

Pennsylvania rates for MS-DRG 498

Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc

Facilitymedian $45,709 · 10th–90th $25,119–$69,1830%10%10th90th$45,709$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
$28,183.83 / $48,977.88 / $70,794.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $43,651.58 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $45,708.82 / $63,095.73
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $53,703.18 / $64,565.42
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $50,118.72 / $60,255.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $66,069.34 / $93,325.43
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $45,708.82 / $69,183.10
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $20,892.96 / $35,481.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $38,904.51 / $70,794.58