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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 October 2026.

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

$21,380

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $14,125 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 $21,380 · 10th to 90th $11,220 to $33,113
$5K$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
$12,882.50
Median
$22,908.68
Typical High
$33,113.11
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$30,902.95
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$22,908.68
Typical High
$33,884.42
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$23,988.33
Typical High
$29,512.09
Geisinger
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$19,952.62
Typical High
$29,512.09
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$22,908.68
Typical High
$34,673.69
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$23,442.29
Typical High
$33,884.42
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$12,589.25
Typical High
$21,379.62
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$20,417.38
Typical High
$30,199.52

Where Pennsylvania 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.

Pennsylvania· 26th 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.