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Pennsylvania rates for MS-DRG 981

Extensive O.R. procedure unrelated to principal diagnosis w MCC

Facilitymedian $75,858 · 10th–90th $40,738$112,2020%10%10th90th$75,858$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
$42,657.95 / $77,624.71 / $112,201.85
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $87,096.36 / $125,892.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $70,794.58 / $100,000.00
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $83,176.38 / $100,000.00
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $75,857.76 / $93,325.43
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27,542.29 / $91,201.08 / $134,896.29
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $74,131.02 / $109,647.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,113.11 / $39,810.72 / $67,608.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $60,255.96 / $109,647.82