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Traumatic Stupor and Coma <1 Hour with Major Complications

Pennsylvania rates for MS-DRG 085

Traumatic Stupor and Coma <1 Hour with MCC

Rates data updated July 2026.

How much does Traumatic Stupor and Coma <1 Hour with Major Complications cost?

$34,674

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $24,547 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 $34,674 · 10th to 90th $19,055 to $47,863
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $34,674

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
$37,153.52
Typical High
$47,863.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$41,686.94
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$34,673.69
Typical High
$47,863.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$39,810.72
Typical High
$48,977.88
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$37,153.52
Typical High
$46,773.51
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$38,018.94
Typical High
$51,286.14
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$34,673.69
Typical High
$47,863.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$20,417.38
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$29,512.09
Typical High
$53,703.18

Where Pennsylvania sits

The same service costs 4.7 times more in Montana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $34,674 · 26th of 51
MT $72,444WV $15,488

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.