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Nervous System Procedures (with MCC)

Pennsylvania rates for MS-DRG 040

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Rates data updated July 2026.

How much does Nervous System Procedures (with MCC) cost?

$58,884

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $58,884 for this service. Most negotiated rates run $40,738 to $72,444.

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 $58,884 · 10th to 90th $32,359 to $85,114
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $58,884

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
$35,481.34
Median
$63,095.73
Typical High
$87,096.36
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$75,857.76
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$58,884.37
Typical High
$81,283.05
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$67,608.30
Typical High
$83,176.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$63,095.73
Typical High
$77,624.71
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$63,095.73
Typical High
$89,125.09
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$58,884.37
Typical High
$85,113.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$36,307.81
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$50,118.72
Typical High
$91,201.08

Where Pennsylvania sits

The same service costs 4.7 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 $58,884 · 26th of 51
CA $100,000MI $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.