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Pennsylvania rates for MS-DRG 555

Signs & symptoms of musculoskeletal system & conn tissue w MCC

Facilitymedian $21,380 · 10th–90th $11,482–$30,2000%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
$12,022.64 / $21,877.62 / $30,902.95
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $24,547.09 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $21,379.62 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $23,442.29 / $28,183.83
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $22,387.21 / $26,915.35
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $30,199.52 / $52,480.75
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $20,417.38 / $30,199.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $10,964.78 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $16,982.44 / $30,902.95