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Pulmonary Embolism without Major Complications

California rates for MS-DRG 176

Pulmonary Embolism without MCC

Rates data updated October 2026.

How much does Pulmonary Embolism without Major Complications cost?

$18,621

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $18,621 for this service. Most negotiated rates run $12,589 to $26,915.

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 $18,621 · 10th to 90th $8,710 to $32,359
$200$500$1K$2K$5K$10K$20Kfacility $18,621

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
$11,748.98
Median
$18,197.01
Typical High
$38,018.94
Ambetter
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$15,135.61
Typical High
$21,379.62
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$19,952.62
Typical High
$34,673.69
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$16,218.10
Typical High
$33,113.11
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$18,197.01
Typical High
$32,359.37
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$20,892.96
Typical High
$33,113.11
Sutter Health Plus
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$18,620.87
Typical High
$18,620.87
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$14,791.08
Typical High
$30,902.95

Where California 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.

California· 8th of 51

$18,621

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.