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Pennsylvania rates for MS-DRG 866

Viral illness w/o MCC

Facilitymedian $14,125 · 10th–90th $7,586–$19,9530%10%10th90th$14,125$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
$8,128.31 / $14,454.40 / $20,417.38
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $15,135.61 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $14,125.38 / $21,379.62
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $15,488.17 / $18,620.87
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $14,791.08 / $18,620.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $10,964.78 / $18,620.87
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,182.57 / $19,952.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $7,244.36 / $10,232.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,981.07 / $11,220.18 / $20,417.38