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Pulmonary Embolism (with MCC or Acute Cor Pulmonale)

Pennsylvania 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?

$20,893

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $14,791 to $27,542.

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 $20,893 · 10th to 90th $11,749 to $32,359
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $20,893

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
$12,589.25
Median
$22,387.21
Typical High
$32,359.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$28,840.32
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$21,877.62
Typical High
$30,902.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$29,512.09
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$22,387.21
Typical High
$28,840.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$22,387.21
Typical High
$31,622.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$20,417.38
Typical High
$32,359.37
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$13,489.63
Typical High
$21,379.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$17,782.79
Typical High
$32,359.37

Where Pennsylvania 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.

Pennsylvania $20,893 · 28th 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.