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Pennsylvania rates for MS-DRG 536

Fractures Of Hip And Pelvis Without Mcc

Facilitymedian $12,589 · 10th–90th $6,918–$18,6210%10%10th90th$12,589$2.0K$5.0K$10.0K$20.0K

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
$7,413.10 / $13,182.57 / $19,054.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $14,454.40 / $23,442.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $12,882.50 / $21,379.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $14,125.38 / $17,378.01
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $13,803.84 / $17,378.01
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,182.57 / $18,620.87
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $12,302.69 / $18,620.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $6,918.31 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $10,232.93 / $19,054.61