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Pennsylvania rates for MS-DRG 800

Splenic Procedures With Cc

Facilitymedian $45,709 · 10th–90th $24,547–$64,5650%10%10th90th$45,709$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
$26,302.68 / $46,773.51 / $66,069.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $52,480.75 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $43,651.58 / $61,659.50
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $48,977.88 / $60,255.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $45,708.82 / $56,234.13
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $44,668.36 / $60,255.96
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $44,668.36 / $64,565.42
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $22,908.68 / $31,622.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $36,307.81 / $66,069.34