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Pennsylvania rates for MS-DRG 638

Diabetes w CC

Facilitymedian $14,791 · 10th–90th $7,943–$20,4170%10%10th90th$14,791$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
$8,128.31 / $14,791.08 / $20,892.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $16,218.10 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $14,454.40 / $22,908.68
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $19,054.61
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $15,848.93 / $19,054.61
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,244.36 / $11,748.98 / $19,054.61
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $14,125.38 / $20,417.38
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $7,244.36 / $8,317.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $11,481.54 / $20,892.96