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Other Ear, Nose, Mouth and Throat Surgery (with MCC)

Pennsylvania rates for MS-DRG 143

Other Ear, Nose, Mouth and Throat O.R. Procedures with MCC

Rates data updated October 2026.

How much does Other Ear, Nose, Mouth and Throat Surgery (with MCC) cost?

$56,234

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $37,154 to $70,795.

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 $56,234 · 10th to 90th $30,200 to $83,176
$5K$10K$20K$50K$100Kfacility $56,234

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
$35,481.34
Median
$61,659.50
Typical High
$91,201.08
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$52,480.75
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$61,659.50
Typical High
$91,201.08
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$79,432.82
Geisinger
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$51,286.14
Typical High
$75,857.76
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$48,977.88
Typical High
$66,069.34
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$61,659.50
Typical High
$91,201.08
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$33,884.42
Typical High
$57,543.99
United
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$58,884.37
Typical High
$83,176.38

Where Pennsylvania sits

The same service costs 354.8 times more in New York 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· 23rd of 51

$56,234

NY $97,724HI $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.