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Pennsylvania rates for MS-DRG 597

Malignant Breast Disorders With Mcc

Facilitymedian $27,542 · 10th–90th $14,454$38,9050%10%10th90th$27,542$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
$15,135.61 / $27,542.29 / $38,904.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $31,622.78 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $26,915.35 / $37,153.52
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $29,512.09 / $35,481.34
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $28,183.83 / $34,673.69
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $33,884.42 / $51,286.14
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $27,542.29 / $38,018.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $14,454.40 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $21,379.62 / $38,904.51