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Pennsylvania rates for MS-DRG 518

Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator

Facilitymedian $58,884 · 10th–90th $30,903–$85,1140%10%10th90th$58,884$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
$33,884.42 / $61,659.50 / $87,096.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $58,884.37 / $97,723.72
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $56,234.13 / $79,432.82
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $79,432.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $61,659.50 / $75,857.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $51,286.14 / $89,125.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $57,543.99 / $85,113.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $30,199.52 / $51,286.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $46,773.51 / $87,096.36