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Pennsylvania rates for MS-DRG 564

Other musculoskeletal sys & connective tissue diagnoses w MCC

Facilitymedian $25,119 · 10th–90th $13,804–$36,3080%10%10th90th$25,119$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
$14,125.38 / $25,703.96 / $36,307.81
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $28,840.32 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $25,118.86 / $33,113.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $33,113.11
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $26,302.68 / $32,359.37
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $25,703.96 / $44,668.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $25,118.86 / $35,481.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,882.50 / $22,387.21
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $19,952.62 / $36,307.81