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Concussion without Complications

Pennsylvania rates for MS-DRG 090

Concussion without CC/MCC

Rates data updated July 2026.

How much does Concussion without Complications cost?

$12,303

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $12,303 for this service. Most negotiated rates run $8,913 to $15,488.

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 $12,303 · 10th to 90th $7,079 to $17,783
$2.0K$5.0K$10.0K$20.0Kfacility $12,303

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
$7,585.78
Median
$12,589.25
Typical High
$17,782.79
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$15,135.61
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$13,182.57
Typical High
$20,892.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$14,454.40
Typical High
$17,782.79
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,803.84
Typical High
$17,782.79
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$19,498.45
Typical High
$28,183.83
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$12,302.69
Typical High
$17,782.79
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,943.28
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,715.19
Typical High
$19,054.61

Where Pennsylvania sits

The same service costs 7.4 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 $12,303 · 28th of 51
MT $48,978NM $6,607

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.