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Pennsylvania rates for MS-DRG 897

Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC

Facilitymedian $13,490 · 10th–90th $7,244–$20,4170%10%10th90th$13,490$1.0K$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 / $20,892.96
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $14,791.08 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $6,606.93 / $13,803.84
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $15,488.17 / $18,620.87
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $10,964.78 / $17,378.01
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,943.28 / $13,489.63 / $20,417.38
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
$4,073.80 / $11,220.18 / $20,892.96