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Pulmonary Embolism without Major Complications

Ohio rates for MS-DRG 176

Pulmonary Embolism without MCC

Rates data updated October 2026.

How much does Pulmonary Embolism without Major Complications cost?

$11,482

Typical facility fee. In Ohio, October 2026.

Insurers have agreed to pay about $11,482 for this service. Most negotiated rates run $9,550 to $14,454.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,482 · 10th to 90th $7,762 to $16,982
$5K$10K$20Kfacility $11,482

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
$8,317.64
Median
$11,481.54
Typical High
$16,218.10
Ambetter
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$12,589.25
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$11,481.54
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$11,748.98
Typical High
$16,982.44
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$12,302.69
Typical High
$16,982.44
SummaCare
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$7,244.36
Typical High
$10,000.00
United
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$13,489.63
Typical High
$18,197.01

Where Ohio 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.

Ohio· 33rd of 51

$11,482

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.