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Interstitial Lung Disease with Major Complications

Pennsylvania rates for MS-DRG 196

Interstitial Lung Disease with MCC

Rates data updated July 2026.

How much does Interstitial Lung Disease with Major Complications cost?

$28,184

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $20,417 to $35,481.

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 $28,184 · 10th to 90th $15,849 to $39,811
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $28,184

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
$17,378.01
Median
$28,840.32
Typical High
$39,810.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$31,622.78
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$28,840.32
Typical High
$39,810.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$40,738.03
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$31,622.78
Typical High
$38,018.94
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$37,153.52
Typical High
$51,286.14
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$28,183.83
Typical High
$39,810.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$18,197.01
Typical High
$29,512.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$23,988.33
Typical High
$44,668.36

Where Pennsylvania sits

The same service costs 4.8 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 $28,184 · 27th of 51
MT $72,444NM $15,136

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.