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Pennsylvania rates for MS-DRG 856

Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc

Facilitymedian $74,131 · 10th–90th $39,811$107,1520%10%10th90th$74,131$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
$41,686.94 / $75,857.76 / $107,151.93
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $89,125.09 / $123,026.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $69,183.10 / $95,499.26
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79,432.82 / $79,432.82 / $97,723.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $74,131.02 / $91,201.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29,512.09 / $74,131.02 / $131,825.67
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $70,794.58 / $107,151.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $36,307.81 / $63,095.73
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $58,884.37 / $107,151.93