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Pennsylvania rates for MS-DRG 601

Non-Malignant Breast Disorders Without Cc/Mcc

Facilitymedian $10,000 · 10th–90th $5,370–$14,1250%10%10th90th$10,000$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
$5,623.41 / $10,000.00 / $14,454.40
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $12,302.69 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $9,772.37 / $16,218.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $10,715.19 / $12,882.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $10,715.19 / $13,489.63
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $7,943.28 / $14,125.38
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,495.41 / $10,000.00 / $13,803.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,128.61 / $8,511.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $7,762.47 / $14,125.38