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Pneumothorax with Major Complications

Texas rates for MS-DRG 199

Pneumothorax with MCC

Rates data updated October 2026.

How much does Pneumothorax with Major Complications cost?

$21,878

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $16,596 to $31,623.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,878 · 10th to 90th $10,965 to $43,652
$10K$20K$50K$100Kfacility $21,878

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
$30,902.95
Typical High
$40,738.03
Ambetter
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$30,902.95
Typical High
$36,307.81
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$20,417.38
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$27,542.29
Typical High
$54,954.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$40,738.03
Typical High
$41,686.94
Providence
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$30,199.52
Typical High
$75,857.76
United
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$21,877.62
Typical High
$47,863.01

Where Texas 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.

Texas· 36th of 51

$21,878

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.