go back

Pneumothorax with Major Complications

Pennsylvania rates for MS-DRG 199

Pneumothorax with MCC

Rates data updated October 2026.

How much does Pneumothorax with Major Complications cost?

$26,915

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $17,378 to $34,674.

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 $26,915 · 10th to 90th $13,804 to $41,687
$5K$10K$20K$50Kfacility $26,915

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
$16,595.87
Median
$29,512.09
Typical High
$42,657.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$33,884.42
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$28,840.32
Typical High
$42,657.95
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$38,018.94
Geisinger
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$25,703.96
Typical High
$37,153.52
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$46,773.51
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$30,199.52
Typical High
$42,657.95
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$16,218.10
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$26,302.68
Typical High
$38,904.51

Where Pennsylvania 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.

Pennsylvania· 24th of 51

$26,915

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.