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Pennsylvania rates for MS-DRG 565

Other Musculoskeletal System And Connective Tissue Diagnoses With Cc

Facilitymedian $15,849 · 10th–90th $8,710–$22,3870%10%10th90th$15,849$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$9,120.11 / $16,218.10 / $22,908.68
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $18,620.87 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $15,848.93 / $23,988.33
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $17,378.01 / $20,892.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $16,595.87 / $20,417.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $19,498.45 / $33,113.11
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $15,488.17 / $22,387.21
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $9,332.54 / $15,135.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $12,589.25 / $22,908.68