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Pennsylvania rates for MS-DRG 517

Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc

Facilitymedian $25,119 · 10th–90th $13,804–$37,1540%10%10th90th$25,119$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
$14,125.38 / $25,118.86 / $37,153.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $28,183.83 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $23,988.33 / $37,153.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $33,113.11
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $25,703.96 / $31,622.78
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $28,183.83 / $33,113.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,442.29 / $36,307.81
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,302.69 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,498.45 / $36,307.81