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Pennsylvania rates for MS-DRG 520

Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc

Facilitymedian $24,547 · 10th–90th $12,882–$34,6740%10%10th90th$24,547$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 / $24,547.09 / $34,673.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $23,988.33 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $23,988.33 / $36,307.81
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $26,302.68 / $31,622.78
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,118.86 / $30,199.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $25,703.96 / $34,673.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $22,908.68 / $34,673.69
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $11,481.54 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $19,498.45 / $34,673.69