go back

Thrombolysis for Pulmonary Embolism

Utah rates for MS-DRG 173

Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolism

Rates data updated July 2026.

How much does Thrombolysis for Pulmonary Embolism cost?

$48,978

Typical facility fee. In Utah, July 2026.

Insurers have agreed to pay about $48,978 for this service. Most negotiated rates run $42,658 to $58,884.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $48,978 · 10th to 90th $28,184 to $64,565
$5K$10K$20K$50K$100K$200Kfacility $48,978

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
$39,810.72
Median
$48,977.88
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$63,095.73
Typical High
$87,096.36
Select Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$26,302.68
Typical High
$64,565.42
United
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$38,904.51
Typical High
$48,977.88

Where Utah sits

The same service costs 3.7 times more in Oregon than in Michigan. 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.

Utah· 22nd of 51

$48,978

OR $79,433MI $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.