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Pennsylvania rates for MS-DRG 556

Signs & symptoms of musculoskeletal system & conn tissue w/o MCC

Facilitymedian $13,183 · 10th–90th $6,918–$19,0550%10%10th90th$13,183$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $13,803.84 / $19,498.45
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $14,454.40 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $13,489.63 / $20,417.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $14,791.08 / $17,782.79
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $14,125.38 / $17,782.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $15,488.17 / $21,877.62
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,413.10 / $12,589.25 / $19,054.61
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,888.44 / $6,918.31 / $11,481.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $10,715.19 / $19,498.45