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Pennsylvania rates for MS-DRG 958

Other O.R. procedures for multiple significant trauma w CC

Facilitymedian $69,183 · 10th–90th $38,019–$97,7240%10%10th90th$69,183$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
$38,904.51 / $69,183.10 / $97,723.72
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $75,857.76 / $114,815.36
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37,153.52 / $63,095.73 / $89,125.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$74,131.02 / $74,131.02 / $91,201.08
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $69,183.10 / $85,113.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $85,113.80 / $104,712.85
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,018.94 / $64,565.42 / $97,723.72
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $64,565.42 / $74,131.02
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $34,673.69 / $58,884.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $54,954.09 / $97,723.72