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Pennsylvania rates for MS-DRG 544

Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc

Facilitymedian $12,303 · 10th–90th $6,761–$17,7830%10%10th90th$12,303$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
$7,079.46 / $12,589.25 / $18,197.01
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $15,848.93 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $12,022.64 / $18,620.87
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $13,182.57 / $16,218.10
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,165.95 / $13,182.57 / $16,218.10
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $22,908.68 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $12,302.69 / $17,782.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $7,244.36 / $12,022.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $9,772.37 / $17,782.79