Major small/large bowel procedures w/o CC/MCC in Pennsylvania
What Pennsylvania hospitals charge for major small/large bowel procedures w/o cc/mcc (MS-DRG 331). Rates sourced from federally-mandated machine-readable files.
Hospitals
62
Rate rows
820
Neg. median
$16,934
Min
$2,208.32
Max
$73,339
Cash median
$17,804
Across 62 Pennsylvania hospitals, the negotiated rate for Major small/large bowel procedures w/o CC/MCC ranges from $2,208.32 to $73,339, with a median of $16,934. The interquartile range is $13,665 to $23,950. Cash-pay patients typically pay $17,804; gross charges median $37,625.
By payer in Pennsylvania
Top 30 payers for Major small/large bowel procedures w/o CC/MCC in Pennsylvania.
| Payer | Hospitals | Rates | Median rate |
|---|---|---|---|
| Blue Cross Blue Shield | 36 | 199 | $22,309 |
| upmc health plan | 33 | 70 | $16,342 |
| Aetna | 33 | 63 | $15,505 |
| UnitedHealthcare | 31 | 53 | $14,819 |
| upmc work partners | 23 | 24 | $9,674.01 |
| Cigna | 23 | 38 | $16,370 |
| pa health & wellness | 23 | 23 | $13,969 |
| amerihealth caritas | 18 | 18 | $13,808 |
| geisinger | 16 | 18 | $21,824 |
| Humana | 11 | 11 | $13,709 |
| keystone health plan | 6 | 12 | $22,891 |
| keystone autism services | 4 | 4 | $19,446 |
| Multiplan | 4 | 4 | $9,999.61 |
| naphcare | 4 | 5 | $28,183 |
| innovage | 4 | 4 | $18,662 |
| health plan of upper ohio valley | 3 | 7 | $13,315 |
| gateway health plan | 3 | 3 | $20,497 |
| Oscar Health | 3 | 3 | $29,922 |
| Medicare | 2 | 7 | $13,440 |
| Medicare Advantage | 2 | 6 | $16,648 |
| city of washington | 2 | 2 | $20,886 |
| optum va ccn | 2 | 2 | $15,527 |
| pennsylvania health and wellness | 2 | 2 | $20,876 |
| clover health | 2 | 2 | $20,117 |
| prime health services | 2 | 2 | $26,183 |
| point of comfort refugee resettlement | 2 | 2 | $15,527 |
| devoted health participation | 2 | 2 | $16,304 |
| provider partners health plan | 2 | 2 | $16,144 |
| elder health | 2 | 2 | $22,774 |
| senior life | 2 | 2 | $13,054 |
Hospital comparison — Major small/large bowel procedures w/o CC/MCC in Pennsylvania
Sorted by lowest negotiated median rate. Up to 100 hospitals.