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Pennsylvania rates for MS-DRG 989

Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc

Facilitymedian $19,498 · 10th–90th $10,715–$27,5420%10%10th90th$19,498$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
$11,220.18 / $19,952.62 / $28,183.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,302.69 / $20,892.96 / $30,199.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $19,054.61 / $29,512.09
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $21,379.62 / $25,703.96
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $20,417.38 / $25,118.86
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $22,908.68 / $44,668.36
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $18,620.87 / $27,542.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $10,000.00 / $16,595.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $15,488.17 / $28,183.83