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Pennsylvania rates for MS-DRG 540

Osteomyelitis w CC

Facilitymedian $21,380 · 10th–90th $11,749–$30,9030%10%10th90th$21,380$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 / $30,902.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $25,118.86 / $35,481.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $20,892.96 / $28,840.32
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $22,908.68 / $27,542.29
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $21,877.62 / $26,915.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $18,197.01 / $34,673.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $21,379.62 / $29,512.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $10,715.19 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $16,595.87 / $30,199.52