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Pulmonary Embolism without Major Complications

Texas rates for MS-DRG 176

Pulmonary Embolism without MCC

Rates data updated October 2026.

How much does Pulmonary Embolism without Major Complications cost?

$10,233

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $7,762 to $14,791.

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 $10,233 · 10th to 90th $5,495 to $19,953
$5K$10K$20K$50Kfacility $10,233

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
$7,585.78
Median
$14,125.38
Typical High
$18,620.87
Ambetter
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$13,803.84
Typical High
$22,387.21
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$9,549.93
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$12,589.25
Typical High
$25,118.86
Moda Health
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$18,620.87
Typical High
$19,054.61
Providence
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$13,803.84
Typical High
$34,673.69
United
Setting
Facility
Modifier
None
Typical Low
$4,168.69
Median
$10,000.00
Typical High
$21,877.62

Where Texas 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.

Texas· 37th of 51

$10,233

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.