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Headaches without Major Complications

Pennsylvania rates for MS-DRG 103

Headaches without MCC

Rates data updated July 2026.

How much does Headaches without Major Complications cost?

$12,589

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $9,120 to $15,849.

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 $12,589 · 10th to 90th $7,079 to $18,197
$5K$10K$20Kfacility $12,589

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
$18,197.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,791.08
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$13,489.63
Typical High
$21,379.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$17,782.79
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,803.84
Typical High
$17,782.79
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$14,454.40
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$12,302.69
Typical High
$18,620.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,943.28
Typical High
$12,882.50
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,715.19
Typical High
$19,498.45

Where Pennsylvania sits

The same service costs 7.2 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· 29th of 51

$12,589

MT $48,978NM $6,761

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.