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Pennsylvania rates for MS-DRG 974

Hiv With Major Related Condition With Mcc

Facilitymedian $46,774 · 10th–90th $25,119–$66,0690%10%10th90th$46,774$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
$26,915.35 / $47,863.01 / $67,608.30
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $51,286.14 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $43,651.58 / $63,095.73
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51,286.14 / $51,286.14 / $61,659.50
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $47,863.01 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $61,659.50 / $93,325.43
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $44,668.36 / $66,069.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $23,988.33 / $33,113.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $37,153.52 / $67,608.30