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Traumatic Stupor and Coma <1 Hour with Complications

Pennsylvania rates for MS-DRG 086

Traumatic Stupor and Coma <1 Hour with CC

Rates data updated October 2026.

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

$19,953

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $12,882 to $24,547.

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 $19,953 · 10th to 90th $10,471 to $29,512
$5K$10K$20Kfacility $19,953

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$21,379.62
Typical High
$30,199.52
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$23,988.33
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$21,379.62
Typical High
$31,622.78
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$28,183.83
Geisinger
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$19,054.61
Typical High
$28,183.83
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$23,442.29
Typical High
$30,902.95
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$21,379.62
Typical High
$31,622.78
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$12,022.64
Typical High
$20,417.38
United
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$19,498.45
Typical High
$28,840.32

Where Pennsylvania sits

The same service costs 128.8 times more in Alaska than in Hawaii. 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

$19,953

AK $35,481HI $275

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.