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Pennsylvania rates for MS-DRG 969

HIV w extensive O.R. procedure w MCC

Facilitymedian $100,000 · 10th–90th $54,954–$144,5440%10%10th90th$100,000$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$57,543.99 / $100,000.00 / $144,543.98
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $107,151.93 / $169,824.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $93,325.43 / $131,825.67
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107,151.93 / $107,151.93 / $131,825.67
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48,977.88 / $100,000.00 / $123,026.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181,970.09 / $181,970.09 / $181,970.09
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54,954.09 / $95,499.26 / $141,253.75
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $54,954.09 / $93,325.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $79,432.82 / $144,543.98