go back

Pennsylvania rates for MS-DRG 499

Local excision & removal int fix devices of hip & femur w/o CC/MCC

Facilitymedian $30,200 · 10th–90th $13,490–$46,7740%10%10th90th$30,200$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
$18,620.87 / $33,113.11 / $46,773.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $21,877.62 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,840.32 / $44,668.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $42,657.95
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $33,113.11 / $40,738.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $26,915.35 / $26,915.35
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $30,902.95 / $46,773.51
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,000.00 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $25,703.96 / $46,773.51