go back

Pennsylvania rates for MS-DRG 500

Soft tissue procedures w MCC

Facilitymedian $51,286 · 10th–90th $28,840$74,1310%10%10th90th$51,286$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
$28,840.32 / $52,480.75 / $74,131.02
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $58,884.37 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $47,863.01 / $66,069.34
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $56,234.13 / $67,608.30
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $52,480.75 / $63,095.73
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $43,651.58 / $81,283.05
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $50,118.72 / $72,443.60
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,877.62 / $25,118.86 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $40,738.03 / $74,131.02