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Pennsylvania rates for MS-DRG 537

Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC

Facilitymedian $15,849 · 10th–90th $8,511–$22,3870%10%10th90th$15,849$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
$8,912.51 / $15,848.93 / $22,387.21
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $17,782.79 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,488.17 / $23,442.29
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $16,982.44 / $20,417.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $16,595.87 / $20,417.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $28,840.32
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,488.17 / $22,387.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $8,128.31 / $13,182.57
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,365.16 / $12,302.69 / $22,387.21