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Ear, Nose, Mouth and Throat Malignancy (with MCC)

Pennsylvania rates for MS-DRG 146

Ear, Nose, Mouth and Throat Malignancy with MCC

Rates data updated July 2026.

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

$31,623

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $20,893 to $39,811.

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 $31,623 · 10th to 90th $17,378 to $46,774
$10K$20K$50Kfacility $31,623

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
$19,498.45
Median
$34,673.69
Typical High
$46,773.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$38,904.51
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$31,622.78
Typical High
$47,863.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$45,708.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$34,673.69
Typical High
$43,651.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$48,977.88
Typical High
$66,069.34
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$32,359.37
Typical High
$46,773.51
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$19,054.61
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$26,915.35
Typical High
$50,118.72

Where Pennsylvania sits

The same service costs 4.3 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

$31,623

MT $72,444NM $16,982

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.