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

Pennsylvania rates for MS-DRG 156

Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC

Rates data updated October 2026.

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

$10,471

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $10,471 for this service. Most negotiated rates run $7,244 to $13,490.

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 $10,471 · 10th to 90th $5,754 to $16,218
$5K$10K$20Kfacility $10,471

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
$6,456.54
Median
$11,481.54
Typical High
$16,218.10
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$12,589.25
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$11,481.54
Typical High
$17,782.79
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$12,302.69
Typical High
$14,791.08
Geisinger
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$10,000.00
Typical High
$16,218.10
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$13,182.57
Typical High
$17,378.01
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$11,481.54
Typical High
$16,595.87
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$6,760.83
Typical High
$11,220.18
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$10,232.93
Typical High
$15,135.61

Where Pennsylvania sits

The same service costs 74.1 times more in Michigan 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· 27th of 51

$10,471

MI $20,417HI $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.