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Pennsylvania rates for MS-DRG 563

Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc

Facilitymedian $14,791 · 10th–90th $8,128–$20,4170%10%10th90th$14,791$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
$8,317.64 / $14,791.08 / $20,892.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,120.11 / $15,488.17 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $14,454.40 / $21,877.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $19,054.61
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $15,135.61 / $19,054.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $14,454.40 / $26,915.35
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $13,803.84 / $20,417.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $7,585.78 / $12,589.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $11,481.54 / $20,892.96