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Pennsylvania rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Facilitymedian $21,380 · 10th–90th $10,471$30,9030%10%10th90th$21,380$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
$12,589.25 / $22,387.21 / $31,622.78
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $22,908.68 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $21,877.62 / $33,113.11
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $28,840.32
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,908.68 / $28,183.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32,359.37 / $32,359.37 / $37,153.52
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $21,379.62 / $31,622.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $9,332.54 / $15,848.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $17,378.01 / $31,622.78