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Ear, Nose, Mouth and Throat Malignancy with Complications

Pennsylvania rates for MS-DRG 147

Ear, Nose, Mouth and Throat Malignancy with CC

Rates data updated October 2026.

How much does Ear, Nose, Mouth and Throat Malignancy with Complications cost?

$19,498

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $12,589 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 $19,498 · 10th to 90th $10,233 to $29,512
$5K$10K$20Kfacility $19,498

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
$20,892.96
Typical High
$30,902.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$24,547.09
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$20,892.96
Typical High
$31,622.78
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$22,387.21
Typical High
$26,915.35
Geisinger
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$18,620.87
Typical High
$27,542.29
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$21,379.62
Typical High
$27,542.29
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$21,379.62
Typical High
$30,902.95
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$11,748.98
Typical High
$19,952.62
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$19,054.61
Typical High
$28,183.83

Where Pennsylvania sits

The same service costs 125.9 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· 25th of 51

$19,498

AK $34,674HI $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.