go back

Pennsylvania rates for MS-DRG 516

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

Facilitymedian $33,884 · 10th–90th $17,378–$48,9780%10%10th90th$33,884$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
$19,054.61 / $34,673.69 / $48,977.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $37,153.52 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $33,113.11 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36,307.81 / $36,307.81 / $44,668.36
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $34,673.69 / $41,686.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $39,810.72 / $52,480.75
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $31,622.78 / $47,863.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $16,218.10 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $26,302.68 / $48,977.88