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Pennsylvania rates for MS-DRG 801

Splenic procedures w/o CC/MCC

Facilitymedian $31,623 · 10th–90th $17,378–$43,6520%10%20%10th90th$31,623$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
$17,782.79 / $31,622.78 / $44,668.36
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $30,902.95 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $30,902.95 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $33,884.42 / $40,738.03
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $31,622.78 / $38,018.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $38,904.51 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $30,199.52 / $43,651.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,589.25 / $14,454.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $24,547.09 / $44,668.36