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Respiratory Infections and Inflammations (with MCC)

Pennsylvania rates for MS-DRG 177

Respiratory Infections and Inflammations with MCC

Rates data updated July 2026.

How much does Respiratory Infections and Inflammations (with MCC) cost?

$23,442

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $15,849 to $30,903.

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 $23,442 · 10th to 90th $12,882 to $39,811
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $23,442

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
$14,454.40
Median
$25,703.96
Typical High
$41,686.94
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$36,307.81
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$25,118.86
Typical High
$33,884.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$27,542.29
Median
$27,542.29
Typical High
$33,113.11
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$26,302.68
Typical High
$32,359.37
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$25,703.96
Typical High
$38,018.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$23,442.29
Typical High
$36,307.81
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$14,454.40
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$20,417.38
Typical High
$36,307.81

Where Pennsylvania sits

The same service costs 5.8 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.

Pennsylvania $23,442 · 28th of 51
MT $72,444NM $12,589

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.