go back

Bone Diseases and Arthropathies without Major Complications

Pennsylvania rates for MS-DRG 554

Bone Diseases and Arthropathies without MCC

Rates data updated July 2026.

Facilitymedian $12,589 · 10th–90th $7,244$18,1970%10%10th90th$12,589$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
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,589.25
Typical High
$17,378.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,454.40
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$13,489.63
Typical High
$21,379.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$17,782.79
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$14,125.38
Typical High
$18,197.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$14,454.40
Typical High
$19,054.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$18,197.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,943.28
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,715.19
Typical High
$19,498.45