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Headaches without Major Complications

Pennsylvania rates for MS-DRG 103

Headaches without MCC

Rates data updated October 2026.

How much does Headaches without Major Complications cost?

$12,589

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $12,589 for this service. Most negotiated rates run $8,710 to $16,596.

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 $6,918 to $19,953
$5K$10K$20Kfacility $12,589

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
$7,762.47
Median
$13,803.84
Typical High
$19,952.62
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$22,387.21
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$13,803.84
Typical High
$21,379.62
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$17,782.79
Geisinger
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$14,791.08
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$13,803.84
Typical High
$19,952.62
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$7,943.28
Typical High
$13,182.57
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$12,589.25
Typical High
$18,620.87

Where Pennsylvania sits

The same service costs 83.2 times more in Alaska 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· 28th of 51

$12,589

AK $22,909HI $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.