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Pennsylvania rates for MS-DRG 559

Aftercare, musculoskeletal system & connective tissue w MCC

Facilitymedian $30,200 · 10th–90th $16,596$43,6520%10%10th90th$30,200$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
$16,982.44 / $30,902.95 / $43,651.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,884.42 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $28,183.83 / $38,904.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $33,113.11 / $39,810.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $30,902.95 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $38,904.51 / $54,954.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $29,512.09 / $42,657.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $15,488.17 / $26,302.68
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $23,988.33 / $43,651.58