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Pennsylvania rates for MS-DRG 628

Other endocrine, nutrit & metab O.R. proc w MCC

Facilitymedian $58,884 · 10th–90th $32,359$85,1140%10%10th90th$58,884$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
$34,673.69 / $61,659.50 / $87,096.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $64,565.42 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $56,234.13 / $83,176.38
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66,069.34 / $66,069.34 / $79,432.82
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $60,255.96 / $74,131.02
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $48,977.88 / $95,499.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $57,543.99 / $85,113.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $31,622.78 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $47,863.01 / $87,096.36