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Pennsylvania rates for MS-DRG 659

Kidney & ureter procedures for non-neoplasm w MCC

Facilitymedian $41,687 · 10th–90th $22,909–$63,0960%10%10th90th$41,687$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
$23,988.33 / $41,686.94 / $70,794.58
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $61,659.50 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $40,738.03 / $54,954.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $44,668.36 / $54,954.09
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,387.21 / $41,686.94 / $51,286.14
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $41,686.94 / $69,183.10
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $41,686.94 / $58,884.37
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $21,877.62 / $37,153.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $33,113.11 / $58,884.37