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Other Ear, Nose, Mouth and Throat Surgery (without CC/MCC)

Pennsylvania rates for MS-DRG 145

Other Ear, Nose, Mouth and Throat O.R. Procedures without CC/MCC

Rates data updated July 2026.

How much does Other Ear, Nose, Mouth and Throat Surgery (without CC/MCC) cost?

$17,783

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $12,303 to $22,387.

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 $17,783 · 10th to 90th $10,233 to $25,119
$10K$20Kfacility $17,783

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
$10,964.78
Median
$18,197.01
Typical High
$25,118.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$23,442.29
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$19,498.45
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$25,703.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$20,417.38
Typical High
$25,703.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$30,902.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$17,782.79
Typical High
$25,118.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$11,748.98
Typical High
$19,498.45
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$16,218.10
Typical High
$28,183.83

Where Pennsylvania sits

The same service costs 7.6 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

$17,783

MT $72,444NM $9,550

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.