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Other Disorders of the Eye (with MCC or Thrombolytic)

Pennsylvania rates for MS-DRG 124

Other Disorders of the Eye with MCC or Thrombolytic Agent

Rates data updated October 2026.

How much does Other Disorders of the Eye (with MCC or Thrombolytic) cost?

$19,953

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $19,953 for this service. Most negotiated rates run $13,183 to $25,119.

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 $19,953 · 10th to 90th $10,471 to $30,200
$5K$10K$20Kfacility $19,953

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
$12,302.69
Median
$21,877.62
Typical High
$30,902.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$22,387.21
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$21,877.62
Typical High
$32,359.37
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$28,183.83
Geisinger
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$18,620.87
Typical High
$28,840.32
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$28,183.83
Typical High
$707,945.78
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$21,877.62
Typical High
$31,622.78
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$12,302.69
Typical High
$20,892.96
United
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$18,620.87
Typical High
$28,840.32

Where Pennsylvania sits

The same service costs 131.8 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· 26th of 51

$19,953

AK $36,308HI $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.