go back

Spinal Disorders and Injuries without Complications

Pennsylvania rates for MS-DRG 053

Spinal Disorders and Injuries without CC/MCC

Rates data updated July 2026.

How much does Spinal Disorders and Injuries without Complications cost?

$14,791

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $14,791 for this service. Most negotiated rates run $9,772 to $18,621.

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 $14,791 · 10th to 90th $8,318 to $21,380
$2.0K$5.0K$10.0K$20.0Kfacility $14,791

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
$8,912.51
Median
$15,135.61
Typical High
$21,379.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,848.93
Typical High
$25,118.86
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$20,892.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$16,982.44
Typical High
$20,892.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$14,791.08
Typical High
$21,379.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$9,120.11
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$12,882.50
Typical High
$22,908.68

Where Pennsylvania sits

The same service costs 6.2 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $14,791 · 28th of 51
MT $48,978NM $7,943

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.