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Ventricular Shunt Procedures with Major Complications

Pennsylvania rates for MS-DRG 031

Ventricular Shunt Procedures with MCC

Rates data updated July 2026.

How much does Ventricular Shunt Procedures with Major Complications cost?

$67,608

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $44,668 to $85,114.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $67,608 · 10th to 90th $36,308 to $97,724
$10K$20K$50K$100Kfacility $67,608

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$74,131.02
Typical High
$100,000.00
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$83,176.38
Typical High
$117,489.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$67,608.30
Typical High
$95,499.26
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$95,499.26
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$72,443.60
Typical High
$89,125.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$45,708.82
Typical High
$234,422.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$67,608.30
Typical High
$100,000.00
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$38,904.51
Typical High
$53,703.18
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$57,543.99
Typical High
$104,712.85

Where Pennsylvania sits

The same service costs 5.4 times more in New York than in Michigan. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 26th of 51

$67,608

NY $114,815MI $21,380

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.