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Concussion with Complications

Pennsylvania rates for MS-DRG 089

Concussion with CC

Rates data updated July 2026.

How much does Concussion with Complications cost?

$16,218

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $10,965 to $20,417.

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 $16,218 · 10th to 90th $9,120 to $22,909
$5K$10K$20Kfacility $16,218

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
$10,000.00
Median
$16,595.87
Typical High
$22,908.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,498.45
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$17,782.79
Typical High
$26,915.35
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$23,442.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$18,620.87
Typical High
$22,908.68
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$21,379.62
Typical High
$25,703.96
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$16,218.10
Typical High
$23,442.29
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,000.00
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$14,454.40
Typical High
$25,703.96

Where Pennsylvania sits

The same service costs 5.5 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· 28th of 51

$16,218

MT $48,978NM $8,913

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.