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Seizures with Major Complications

Pennsylvania rates for MS-DRG 100

Seizures with MCC

Rates data updated July 2026.

How much does Seizures with Major Complications cost?

$28,840

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $19,953 to $35,481.

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 $28,840 · 10th to 90th $15,849 to $40,738
$5K$10K$20K$50Kfacility $28,840

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
$17,378.01
Median
$29,512.09
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$30,902.95
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$29,512.09
Typical High
$41,686.94
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$41,686.94
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$32,359.37
Typical High
$38,904.51
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$30,199.52
Typical High
$44,668.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,840.32
Typical High
$40,738.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$19,054.61
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$24,547.09
Typical High
$45,708.82

Where Pennsylvania sits

The same service costs 4.7 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· 27th of 51

$28,840

MT $72,444NM $15,488

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.