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Major Chest Procedures with Major Complications

Pennsylvania rates for MS-DRG 163

Major Chest Procedures with MCC

Rates data updated July 2026.

How much does Major Chest Procedures with Major Complications cost?

$67,608

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $47,863 to $87,096.

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 $67,608 · 10th to 90th $37,154 to $107,152
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $67,608

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
$40,738.03
Median
$74,131.02
Typical High
$107,151.93
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$97,723.72
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$67,608.30
Typical High
$97,723.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$95,499.26
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$72,443.60
Typical High
$89,125.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$70,794.58
Typical High
$114,815.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$67,608.30
Typical High
$104,712.85
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$42,657.95
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$58,884.37
Typical High
$104,712.85

Where Pennsylvania sits

The same service costs 6.9 times more in California than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $67,608 · 29th of 51
CA $147,911MI $21,380

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.