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Pennsylvania rates for MS-DRG 513

Hand or wrist proc, except major thumb or joint proc w CC/MCC

Facilitymedian $25,704 · 10th–90th $14,125–$36,3080%10%10th90th$25,704$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
$14,791.08 / $25,703.96 / $37,153.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,183.83 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $24,547.09 / $38,904.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $27,542.29 / $33,884.42
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $25,703.96 / $32,359.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $23,988.33 / $33,113.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $23,988.33 / $36,307.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,302.69 / $17,378.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $20,417.38 / $37,153.52