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Respiratory Infections and Inflammations with Complications

Pennsylvania rates for MS-DRG 178

Respiratory Infections and Inflammations with CC

Rates data updated July 2026.

How much does Respiratory Infections and Inflammations with Complications cost?

$14,791

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $14,791 for this service. Most negotiated rates run $10,000 to $20,417.

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 $14,791 · 10th to 90th $8,318 to $27,542
$5K$10K$20Kfacility $14,791

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
$8,912.51
Median
$16,218.10
Typical High
$29,512.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$15,848.93
Typical High
$25,118.86
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$20,892.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,595.87
Typical High
$20,892.96
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$17,378.01
Typical High
$31,622.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,791.08
Typical High
$26,302.68
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$8,912.51
Typical High
$14,125.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$12,589.25
Typical High
$22,908.68

Where Pennsylvania sits

The same service costs 9.1 times more in Montana than in New Mexico. 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.

Pennsylvania· 30th of 51

$14,791

MT $72,444NM $7,943

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.