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Pulmonary Embolism without Major Complications

California rates for MS-DRG 176

Pulmonary Embolism without MCC

Rates data updated July 2026.

How much does Pulmonary Embolism without Major Complications cost?

$29,512

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $19,953 to $31,623.

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 $29,512 · 10th to 90th $12,882 to $33,113
$100.0$500.0$2.0K$10.0K$50.0Kfacility $29,512

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
$14,791.08
Median
$23,988.33
Typical High
$33,113.11
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$30,199.52
Typical High
$31,622.78
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$16,218.10
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$18,620.87
Typical High
$32,359.37
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
$28,840.32
Median
$28,840.32
Typical High
$28,840.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$20,892.96
Typical High
$33,113.11
Sutter Health Plus
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$14,791.08
Typical High
$31,622.78

Where California sits

The same service costs 7.2 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $29,512 · 2nd of 51
MT $48,978NM $6,761

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.