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Pennsylvania rates for MS-DRG 583

Mastectomy for malignancy w/o CC/MCC

Facilitymedian $26,915 · 10th–90th $15,488$40,7380%10%10th90th$26,915$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$15,848.93 / $28,183.83 / $40,738.03
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $22,908.68 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $27,542.29 / $41,686.94
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $30,199.52 / $37,153.52
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $28,840.32 / $34,673.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $47,863.01 / $58,884.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $26,302.68 / $39,810.72
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $26,915.35 / $30,902.95
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,218.10 / $25,118.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $21,877.62 / $40,738.03