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Extracranial Procedures with Major Complications

Pennsylvania rates for MS-DRG 037

Extracranial Procedures with MCC

Rates data updated July 2026.

How much does Extracranial Procedures with Major Complications cost?

$50,119

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $33,884 to $61,660.

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 $50,119 · 10th to 90th $26,915 to $72,444
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $50,119

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
$30,199.52
Median
$53,703.18
Typical High
$72,443.60
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$61,659.50
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$50,118.72
Typical High
$70,794.58
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$57,543.99
Typical High
$70,794.58
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$53,703.18
Typical High
$66,069.34
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$57,543.99
Typical High
$95,499.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$50,118.72
Typical High
$72,443.60
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$31,622.78
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$40,738.03
Typical High
$77,624.71

Where Pennsylvania sits

The same service costs 4.1 times more in California than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $50,119 · 26th of 51
CA $87,096MI $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.