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Degenerative Nervous System Disorders (with MCC)

Pennsylvania rates for MS-DRG 056

Degenerative Nervous System Disorders with MCC

Rates data updated July 2026.

How much does Degenerative Nervous System Disorders (with MCC) cost?

$33,113

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $33,113 for this service. Most negotiated rates run $22,909 to $42,658.

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 $33,113 · 10th to 90th $19,055 to $48,978
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $33,113

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
$20,892.96
Median
$35,481.34
Typical High
$48,977.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$35,481.34
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$34,673.69
Typical High
$52,480.75
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$40,738.03
Typical High
$50,118.72
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$38,018.94
Typical High
$47,863.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$42,657.95
Typical High
$53,703.18
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$34,673.69
Typical High
$48,977.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$21,379.62
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$29,512.09
Typical High
$54,954.09

Where Pennsylvania sits

The same service costs 3.9 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 $33,113 · 30th of 51
MT $72,444NM $18,621

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.