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Pennsylvania rates for MS-DRG 854

Infectious & parasitic diseases w O.R. procedure w CC

Facilitymedian $32,359 · 10th–90th $17,783–$50,1190%10%10th90th$32,359$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
$18,620.87 / $33,113.11 / $51,286.14
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $43,651.58 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $31,622.78 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $35,481.34 / $42,657.95
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $33,113.11 / $40,738.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $33,884.42 / $46,773.51
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $32,359.37 / $47,863.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,125.38 / $16,982.44 / $28,840.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $26,302.68 / $46,773.51