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Intraocular Procedures without Complications

Pennsylvania rates for MS-DRG 117

Intraocular Procedures without CC/MCC

Rates data updated July 2026.

How much does Intraocular Procedures without Complications cost?

$16,218

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $10,715 to $19,953.

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 $16,218 · 10th to 90th $8,913 to $22,909
$5K$10K$20Kfacility $16,218

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
$10,000.00
Median
$16,218.10
Typical High
$22,908.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$17,782.79
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$17,378.01
Typical High
$27,542.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$23,442.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$18,197.01
Typical High
$22,908.68
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$26,915.35
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,218.10
Typical High
$22,908.68
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$9,549.93
Typical High
$10,715.19
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$13,803.84
Typical High
$25,118.86

Where Pennsylvania sits

The same service costs 5.6 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

$16,218

MT $48,978NM $8,710

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.