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Pennsylvania rates for MS-DRG 543

Pathological fractures & musculoskelet & conn tiss malig w CC

Facilitymedian $16,982 · 10th–90th $9,333$25,1190%10%10th90th$16,982$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
$9,332.54 / $16,982.44 / $25,118.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $21,379.62 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $16,595.87 / $25,118.86
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $21,877.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $17,378.01 / $21,877.62
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $20,892.96 / $33,113.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $16,982.44 / $23,988.33
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $16,595.87 / $18,197.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $8,912.51 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $13,182.57 / $23,988.33