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Ventricular Shunt Procedures with Major Complications

Pennsylvania rates for MS-DRG 031

Ventricular Shunt Procedures with MCC

Rates data updated October 2026.

How much does Ventricular Shunt Procedures with Major Complications cost?

$67,608

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $43,652 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 $35,481 to $102,329
$5K$10K$20K$50K$100Kfacility $67,608

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$74,131.02
Typical High
$107,151.93
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$85,113.80
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$72,443.60
Typical High
$109,647.82
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$95,499.26
Geisinger
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$63,095.73
Typical High
$91,201.08
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$74,131.02
Typical High
$234,422.88
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$75,857.76
Typical High
$107,151.93
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$33,884.42
Median
$40,738.03
Typical High
$69,183.10
United
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$64,565.42
Typical High
$97,723.72

Where Pennsylvania sits

The same service costs 436.5 times more in Alaska than in Hawaii. 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· 22nd of 51

$67,608

AK $120,226HI $275

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.