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Dental and Oral Diseases with Complications

Pennsylvania rates for MS-DRG 158

Dental and Oral Diseases with CC

Rates data updated July 2026.

Facilitymedian $13,804 · 10th–90th $7,762$19,9530%10%10th90th$13,804$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$19,952.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$14,791.08
Typical High
$23,442.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,498.45
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$15,488.17
Typical High
$19,498.45
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$17,378.01
Typical High
$20,417.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$13,803.84
Typical High
$19,952.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$11,748.98
Typical High
$21,379.62