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Pneumothorax with Major Complications

Pennsylvania rates for MS-DRG 199

Pneumothorax with MCC

Rates data updated July 2026.

How much does Pneumothorax with Major Complications cost?

$26,915

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $17,378 to $33,113.

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 $14,454 to $39,811
$10K$20K$50Kfacility $26,915

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
$16,218.10
Median
$28,840.32
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$34,673.69
Typical High
$51,286.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$27,542.29
Typical High
$37,153.52
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$38,018.94
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$29,512.09
Typical High
$35,481.34
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$26,302.68
Typical High
$38,904.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$26,915.35
Typical High
$39,810.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$15,848.93
Typical High
$27,542.29
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$22,908.68
Typical High
$41,686.94

Where Pennsylvania sits

The same service costs 5.1 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· 27th of 51

$26,915

MT $72,444NM $14,125

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.