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Seizures with Major Complications

Pennsylvania rates for MS-DRG 100

Seizures with MCC

Rates data updated October 2026.

How much does Seizures with Major Complications cost?

$29,512

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $19,055 to $36,308.

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 $29,512 · 10th to 90th $15,136 to $42,658
$5K$10K$20K$50Kfacility $29,512

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$31,622.78
Typical High
$45,708.82
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$31,622.78
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$30,902.95
Typical High
$47,863.01
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$41,686.94
Geisinger
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$27,542.29
Typical High
$39,810.72
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$29,512.09
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$31,622.78
Typical High
$46,773.51
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$17,782.79
Typical High
$30,199.52
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$28,840.32
Typical High
$42,657.95

Where Pennsylvania sits

The same service costs 295.1 times more in Montana than in Hawaii. 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· 23rd of 51

$29,512

MT $81,283HI $275

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.