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Non-Bacterial Infections of Nervous System (with MCC)

Pennsylvania rates for MS-DRG 097

Nonbacterial Infection of Nervous System Except Viral Meningitis with MCC

Rates data updated July 2026.

How much does Non-Bacterial Infections of Nervous System (with MCC) cost?

$53,703

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $53,703 for this service. Most negotiated rates run $35,481 to $67,608.

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 $53,703 · 10th to 90th $28,840 to $75,858
$10K$20K$50K$100Kfacility $53,703

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
$33,113.11
Median
$56,234.13
Typical High
$75,857.76
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$66,069.34
Typical High
$102,329.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$54,954.09
Typical High
$75,857.76
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$63,095.73
Median
$63,095.73
Typical High
$77,624.71
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$58,884.37
Typical High
$72,443.60
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$64,565.42
Typical High
$125,892.54
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$54,954.09
Typical High
$75,857.76
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$33,884.42
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$46,773.51
Typical High
$85,113.80

Where Pennsylvania sits

The same service costs 4.3 times more in New York than in Michigan. 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

$53,703

NY $91,201MI $21,380

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.