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Acute Major Eye Infections without Complications

Pennsylvania rates for MS-DRG 122

Acute Major Eye Infections without CC/MCC

Rates data updated July 2026.

How much does Acute Major Eye Infections without Complications cost?

$11,749

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $8,128 to $14,454.

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 $11,749 · 10th to 90th $6,607 to $16,596
$5K$10K$20Kfacility $11,749

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
$7,244.36
Median
$11,748.98
Typical High
$16,595.87
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,589.25
Typical High
$19,952.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$13,803.84
Typical High
$16,982.44
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$13,489.63
Typical High
$16,982.44
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$11,748.98
Typical High
$16,595.87
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,943.28
Typical High
$12,589.25
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$10,000.00
Typical High
$18,197.01

Where Pennsylvania sits

The same service costs 7.8 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· 28th of 51

$11,749

MT $48,978NM $6,310

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.