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Pennsylvania rates for MS-DRG 987

Non-extensive O.R. proc unrelated to principal diagnosis w MCC

Facilitymedian $56,234 · 10th–90th $29,512–$79,4330%10%10th90th$56,234$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
$31,622.78 / $57,543.99 / $81,283.05
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $63,095.73 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31,622.78 / $51,286.14 / $72,443.60
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $60,255.96 / $74,131.02
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $56,234.13 / $70,794.58
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $61,659.50 / $120,226.44
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,902.95 / $53,703.18 / $79,432.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $28,840.32 / $48,977.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $43,651.58 / $79,432.82