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Nontraumatic Stupor and Coma with Major Complications

Pennsylvania rates for MS-DRG 080

Nontraumatic Stupor and Coma with MCC

Rates data updated July 2026.

How much does Nontraumatic Stupor and Coma with Major Complications cost?

$26,915

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $19,953 to $33,113.

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 $26,915 · 10th to 90th $16,218 to $38,019
$10K$20K$50Kfacility $26,915

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
$16,595.87
Median
$26,915.35
Typical High
$38,018.94
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$28,183.83
Typical High
$40,738.03
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$31,622.78
Typical High
$38,904.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$30,199.52
Typical High
$38,018.94
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$38,018.94
Typical High
$66,069.34
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$26,915.35
Typical High
$38,018.94
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$20,417.38
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$23,442.29
Typical High
$42,657.95

Where Pennsylvania sits

The same service costs 5.0 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 27th of 51

$26,915

MT $72,444NM $14,454

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.