go back

Pennsylvania rates for MS-DRG 538

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

Facilitymedian $11,749 · 10th–90th $6,457$16,9820%10%10th90th$11,749$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
$6,760.83 / $11,748.98 / $16,982.44
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $12,882.50 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $11,481.54 / $17,782.79
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $15,488.17
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $12,882.50 / $15,848.93
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $11,220.18 / $16,982.44
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,786.30 / $5,888.44 / $9,549.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $9,120.11 / $16,982.44