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Pennsylvania rates for MS-DRG 820

Lymphoma & leukemia w major O.R. procedure w MCC

Facilitymedian $95,499 · 10th–90th $52,481–$134,8960%10%10th90th$95,499$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$54,954.09 / $97,723.72 / $138,038.43
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $107,151.93 / $154,881.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $89,125.09 / $123,026.88
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$102,329.30 / $102,329.30 / $125,892.54
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $95,499.26 / $114,815.36
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81,283.05 / $123,026.88 / $165,958.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $95,499.26 / $134,896.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $46,773.51 / $81,283.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $74,131.02 / $138,038.43