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Bacterial Infections of Nervous System (without CC/MCC)

Pennsylvania rates for MS-DRG 096

Bacterial and Tuberculous Infections of Nervous System without CC/MCC

Rates data updated July 2026.

How much does Bacterial Infections of Nervous System (without CC/MCC) cost?

$38,905

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $28,840 to $47,863.

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 $38,905 · 10th to 90th $22,387 to $53,703
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $38,905

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
$23,442.29
Median
$38,904.51
Typical High
$53,703.18
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$39,810.72
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$38,904.51
Typical High
$54,954.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$45,708.82
Median
$45,708.82
Typical High
$54,954.09
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$42,657.95
Typical High
$53,703.18
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$52,480.75
Typical High
$69,183.10
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,018.94
Typical High
$54,954.09
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$28,840.32
Typical High
$45,708.82
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$33,113.11
Typical High
$60,255.96

Where Pennsylvania sits

The same service costs 4.2 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 $38,905 · 24th of 51
MT $72,444WV $17,378

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.