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Other Respiratory System Diagnoses with Major Complications

Pennsylvania rates for MS-DRG 205

Other Respiratory System Diagnoses with MCC

Rates data updated October 2026.

How much does Other Respiratory System Diagnoses with Major Complications cost?

$27,542

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $27,542 for this service. Most negotiated rates run $18,197 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 $27,542 · 10th to 90th $14,125 to $41,687
$5K$10K$20K$50Kfacility $27,542

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
$17,782.79
Median
$30,199.52
Typical High
$42,657.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$26,302.68
Typical High
$41,686.94
Cigna
Setting
Facility
Modifier
None
Typical Low
$16,982.44
Median
$30,199.52
Typical High
$45,708.82
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$38,904.51
Geisinger
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$25,118.86
Typical High
$38,018.94
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$30,199.52
Typical High
$53,703.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$30,199.52
Typical High
$43,651.58
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$16,982.44
Typical High
$28,840.32
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$27,542.29
Typical High
$40,738.03

Where Pennsylvania sits

The same service costs 182.0 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· 23rd of 51

$27,542

AK $50,119HI $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.