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Pulmonary Embolism (with MCC or Acute Cor Pulmonale)

California rates for MS-DRG 175

Pulmonary Embolism with MCC or Acute Cor Pulmonale

Rates data updated July 2026.

How much does Pulmonary Embolism (with MCC or Acute Cor Pulmonale) cost?

$34,674

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $26,303 to $50,119.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $34,674 · 10th to 90th $18,621 to $57,544
$100.0$1.0K$10.0K$100.0Kfacility $34,674

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
$21,379.62
Median
$31,622.78
Typical High
$58,884.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$34,673.69
Typical High
$57,543.99
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$22,387.21
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$28,183.83
Typical High
$48,977.88
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$48,977.88
Providence
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$31,622.78
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$23,988.33
Typical High
$53,703.18

Where California sits

The same service costs 6.3 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $34,674 · 2nd of 51
MT $72,444MS $11,482

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.