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Nervous System Procedures (without CC/MCC)

Pennsylvania rates for MS-DRG 042

Peripheral, Cranial Nerve and Other Nervous System Procedures without CC/MCC

Rates data updated July 2026.

How much does Nervous System Procedures (without CC/MCC) cost?

$25,704

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $16,982 to $32,359.

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 $25,704 · 10th to 90th $14,454 to $39,811
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $25,704

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
$15,848.93
Median
$28,183.83
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$35,481.34
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$27,542.29
Typical High
$42,657.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$37,153.52
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$28,183.83
Typical High
$36,307.81
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$33,884.42
Typical High
$43,651.58
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$26,302.68
Typical High
$39,810.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$16,218.10
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$22,387.21
Typical High
$40,738.03

Where Pennsylvania sits

The same service costs 3.8 times more in California than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $25,704 · 28th of 51
CA $52,481NM $13,804

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.