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Pennsylvania rates for MS-DRG 816

Reticuloendothelial And Immunity Disorders Without Cc/Mcc

Facilitymedian $10,233 · 10th–90th $5,754$15,1360%10%10th90th$10,233$2.0K$5.0K$10.0K$20.0K

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
$5,888.44 / $10,471.29 / $15,135.61
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $13,803.84 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $10,232.93 / $16,982.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $11,220.18 / $13,489.63
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $10,964.78 / $14,125.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $13,803.84 / $32,359.37
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $10,232.93 / $14,791.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $5,754.40 / $9,332.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,801.89 / $8,128.31 / $14,791.08