go back

Pennsylvania rates for MS-DRG 863

Postoperative & post-traumatic infections w/o MCC

Facilitymedian $16,218 · 10th–90th $8,511$23,4420%10%10th90th$16,218$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
$9,332.54 / $16,595.87 / $23,442.29
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $19,498.45 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $16,218.10 / $24,547.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $17,782.79 / $21,379.62
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $16,982.44 / $20,892.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $16,982.44 / $22,387.21
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $16,218.10 / $23,442.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $8,317.64 / $13,803.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $12,882.50 / $23,442.29