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Pennsylvania rates for MS-DRG 619

O.R. procedures for obesity w MCC

Facilitymedian $45,709 · 10th–90th $26,303–$69,1830%10%10th90th$45,709$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
$26,915.35 / $46,773.51 / $69,183.10
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $60,255.96 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $46,773.51 / $70,794.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $61,659.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $47,863.01 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $204,173.79
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $45,708.82 / $67,608.30
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,054.61 / $22,387.21 / $36,307.81
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $38,018.94 / $67,608.30