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Pneumothorax with Major Complications

Maine rates for MS-DRG 199

Pneumothorax with MCC

Rates data updated October 2026.

How much does Pneumothorax with Major Complications cost?

$40,738

Typical facility fee. In Maine, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $32,359 to $52,481.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $29,512 to $52,481
$20K$50Kfacility $40,738

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
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$29,512.09
Median
$40,738.03
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$52,480.75
Typical High
$52,480.75
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$43,651.58

Where Maine sits

The same service costs 173.8 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.

Maine· 5th of 51

$40,738

AK $47,863HI $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.