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Pennsylvania rates for MS-DRG 562

Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC

Facilitymedian $23,442 · 10th–90th $12,882–$33,1130%10%10th90th$23,442$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
$13,489.63 / $23,442.29 / $33,113.11
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $27,542.29 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,908.68 / $30,902.95
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,118.86 / $30,199.52
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $23,988.33 / $29,512.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $45,708.82 / $54,954.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $23,442.29 / $33,113.11
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,022.64 / $20,892.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $18,620.87 / $33,113.11