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Pennsylvania rates for MS-DRG 653

Major bladder procedures w MCC

Facilitymedian $85,114 · 10th–90th $46,774–$123,0270%10%10th90th$85,114$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
$48,977.88 / $87,096.36 / $125,892.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $109,647.82 / $147,910.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $77,624.71 / $117,489.76
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91,201.08 / $91,201.08 / $112,201.85
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $85,113.80 / $104,712.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $95,499.26 / $173,780.08
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $85,113.80 / $123,026.88
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $43,651.58 / $61,659.50
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $67,608.30 / $123,026.88