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Pulmonary Embolism (with MCC or Acute Cor Pulmonale)

Indiana rates for MS-DRG 175

Pulmonary Embolism with MCC or Acute Cor Pulmonale

Rates data updated October 2026.

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

$21,380

Typical facility fee. In Indiana, October 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $17,378 to $26,303.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,380 · 10th to 90th $14,454 to $30,903
$10K$20K$50Kfacility $21,380

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
$16,982.44
Median
$25,703.96
Typical High
$34,673.69
Ambetter
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$37,153.52
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$20,892.96
Typical High
$30,902.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$19,054.61
Typical High
$46,773.51
Physicians Health Plan of Northern Indiana
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$36,307.81
Typical High
$39,810.72
United
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$21,379.62
Typical High
$29,512.09

Where Indiana sits

The same service costs 134.9 times more in Alaska 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.

Indiana· 25th of 51

$21,380

AK $37,154HI $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.