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Pulmonary Embolism without Major Complications

Alaska rates for MS-DRG 176

Pulmonary Embolism without MCC

Rates data updated October 2026.

How much does Pulmonary Embolism without Major Complications cost?

$21,878

Typical facility fee. In Alaska, October 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $15,136 to $32,359.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,878 · 10th to 90th $12,589 to $35,481
$10K$20K$50Kfacility $21,878

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$21,877.62
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$35,481.34
Moda Health
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$23,442.29
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$12,589.25
Typical High
$20,892.96
Providence
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$35,481.34

Where Alaska sits

The same service costs 79.4 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.

Alaska· 1st of 51

$21,878

AK $21,878HI $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.