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Pennsylvania rates for MS-DRG 604

Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc

Facilitymedian $23,988 · 10th–90th $13,183–$33,8840%10%10th90th$23,988$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
$13,803.84 / $24,547.09 / $34,673.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $26,302.68 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $23,442.29 / $31,622.78
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,703.96 / $25,703.96 / $31,622.78
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $24,547.09 / $30,199.52
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $28,183.83 / $42,657.95
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $22,387.21 / $33,884.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,471.29 / $12,589.25 / $21,379.62
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $19,054.61 / $34,673.69