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Precerebral Occlusion without Infarction (with MCC)

Pennsylvania rates for MS-DRG 067

Precerebral Occlusion without Infarction with MCC

Rates data updated July 2026.

How much does Precerebral Occlusion without Infarction (with MCC) cost?

$21,878

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $14,454 to $27,542.

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 $21,878 · 10th to 90th $12,023 to $32,359
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $21,878

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
$13,489.63
Median
$23,988.33
Typical High
$33,113.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,183.83
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$23,442.29
Typical High
$31,622.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$25,703.96
Typical High
$31,622.78
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$24,547.09
Typical High
$30,902.95
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$29,512.09
Typical High
$46,773.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$21,877.62
Typical High
$32,359.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,489.63
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$19,054.61
Typical High
$34,673.69

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 $21,878 · 29th of 51
MT $72,444NM $11,749

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.