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Pennsylvania rates for MS-DRG 940

O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc

Facilitymedian $35,481 · 10th–90th $17,378–$53,7030%10%10th90th$35,481$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
$20,892.96 / $38,904.51 / $54,954.09
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $36,307.81 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $38,018.94 / $52,480.75
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $50,118.72
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $38,904.51 / $46,773.51
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $48,977.88 / $95,499.26
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $35,481.34 / $53,703.18
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $17,378.01 / $29,512.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $30,199.52 / $54,954.09