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Pennsylvania rates for MS-DRG 515

Other musculoskelet sys & conn tiss O.R. proc w MCC

Facilitymedian $52,481 · 10th–90th $26,303$74,1310%10%10th90th$52,481$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 / $77,624.71
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $60,255.96 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $47,863.01 / $67,608.30
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
$23,442.29 / $52,480.75 / $64,565.42
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $64,565.42 / $75,857.76
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
$21,379.62 / $24,547.09 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $40,738.03 / $74,131.02