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Pennsylvania rates for MS-DRG 519

Back And Neck Procedures Except Spinal Fusion With Cc

Facilitymedian $32,359 · 10th–90th $17,378–$45,7090%10%10th90th$32,359$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$18,197.01 / $33,113.11 / $46,773.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $32,359.37 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $32,359.37 / $44,668.36
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $42,657.95
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $33,113.11 / $40,738.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $36,307.81 / $45,708.82
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $30,902.95 / $45,708.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $16,595.87 / $28,183.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $25,703.96 / $46,773.51