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Orbital Procedures with Complications

Pennsylvania rates for MS-DRG 113

Orbital Procedures with CC/MCC

Rates data updated July 2026.

How much does Orbital Procedures with Complications cost?

$34,674

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $23,988 to $43,652.

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 $34,674 · 10th to 90th $19,498 to $48,978
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $34,674

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
$21,379.62
Median
$35,481.34
Typical High
$48,977.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$38,904.51
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$37,153.52
Typical High
$50,118.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$50,118.72
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$38,904.51
Typical High
$48,977.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$39,810.72
Typical High
$63,095.73
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$34,673.69
Typical High
$50,118.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$22,908.68
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$30,199.52
Typical High
$54,954.09

Where Pennsylvania sits

The same service costs 3.2 times more in New York than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $34,674 · 27th of 51
NY $61,660NM $19,055

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.