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Pennsylvania rates for MS-DRG 876

O.R. procedure w principal diagnoses of mental illness

Facilitymedian $63,096 · 10th–90th $34,674$89,1250%10%10th90th$63,096$1.0K$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
$35,481.34 / $63,095.73 / $91,201.08
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $58,884.37 / $79,432.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $60,255.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $67,608.30 / $83,176.38
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $63,095.73 / $75,857.76
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $67,608.30 / $97,723.72
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $58,884.37 / $89,125.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $39,810.72 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $48,977.88 / $91,201.08