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Pennsylvania rates for MS-DRG 988

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

Facilitymedian $26,915 · 10th–90th $14,454$38,9050%10%10th90th$26,915$2.0K$5.0K$10.0K$20.0K$50.0K

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
$15,135.61 / $27,542.29 / $38,904.51
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $33,113.11 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $25,703.96 / $39,810.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $28,840.32 / $35,481.34
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $27,542.29 / $33,113.11
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $28,840.32 / $48,977.88
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,791.08 / $25,703.96 / $38,018.94
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $14,454.40 / $24,547.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $21,379.62 / $38,904.51