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Pennsylvania rates for MS-DRG 535

Fractures Of Hip And Pelvis With Mcc

Facilitymedian $20,893 · 10th–90th $11,482–$29,5120%10%10th90th$20,893$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
$11,748.98 / $21,379.62 / $30,199.52
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $25,118.86 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $20,417.38 / $28,840.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $22,387.21 / $27,542.29
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $21,379.62 / $26,302.68
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $20,892.96 / $29,512.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $11,481.54 / $19,054.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $16,595.87 / $30,199.52