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Pneumothorax with Major Complications

North Carolina rates for MS-DRG 199

Pneumothorax with MCC

Rates data updated October 2026.

How much does Pneumothorax with Major Complications cost?

$23,988

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $23,988 for this service. Most negotiated rates run $18,197 to $32,359.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $23,988 · 10th to 90th $14,791 to $36,308
$2K$5K$10K$20K$50Kfacility $23,988

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
$7,244.36
Median
$19,054.61
Typical High
$34,673.69
Ambetter
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$19,498.45
Typical High
$19,498.45
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$20,417.38
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$25,703.96
Typical High
$36,307.81
Medcost
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$17,378.01
Typical High
$23,988.33
United
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$38,904.51

Where North Carolina 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.

North Carolina· 32nd of 51

$23,988

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.