go back

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 October 2026.

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

$18,197

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $12,303 to $23,442.

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 $18,197 · 10th to 90th $10,000 to $28,840
$5K$10K$20Kfacility $18,197

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
$11,220.18
Median
$19,952.62
Typical High
$28,840.32
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$21,877.62
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$19,952.62
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$25,703.96
Geisinger
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$17,378.01
Typical High
$26,302.68
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$23,988.33
Typical High
$33,113.11
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$20,417.38
Typical High
$28,840.32
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$11,220.18
Typical High
$19,054.61
United
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$19,054.61
Typical High
$26,302.68

Where Pennsylvania sits

The same service costs 117.5 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· 28th of 51

$18,197

AK $32,359HI $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.