go back

Degenerative Nervous System Disorders (without MCC)

Pennsylvania rates for MS-DRG 057

Degenerative Nervous System Disorders without MCC

Rates data updated July 2026.

How much does Degenerative Nervous System Disorders (without MCC) cost?

$19,055

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $14,125 to $23,988.

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 $19,055 · 10th to 90th $10,965 to $27,542
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $19,055

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
$11,748.98
Median
$19,498.45
Typical High
$26,915.35
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$21,379.62
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$20,892.96
Typical High
$28,840.32
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$27,542.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$21,877.62
Typical High
$26,915.35
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$26,915.35
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$27,542.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$12,022.64
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$16,595.87
Typical High
$30,199.52

Where Pennsylvania sits

The same service costs 4.7 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 $19,055 · 30th of 51
MT $48,978NM $10,471

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.