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

Pennsylvania rates for MS-DRG 154

Other Ear, Nose, Mouth and Throat Diagnoses with MCC

Rates data updated July 2026.

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

$23,442

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $15,488 to $28,840.

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 $23,442 · 10th to 90th $12,882 to $33,113
$5K$10K$20K$50Kfacility $23,442

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
$14,454.40
Median
$23,988.33
Typical High
$33,113.11
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$28,183.83
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$25,118.86
Typical High
$35,481.34
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$33,113.11
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$26,302.68
Typical High
$32,359.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$30,902.95
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$23,442.29
Typical High
$33,113.11
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$14,791.08
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$19,952.62
Typical High
$36,307.81

Where Pennsylvania sits

The same service costs 5.8 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

$23,442

MT $72,444NM $12,589

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.