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Other Respiratory System Diagnoses (without MCC)

Pennsylvania rates for MS-DRG 206

Other Respiratory System Diagnoses without MCC

Rates data updated July 2026.

How much does Other Respiratory System Diagnoses (without MCC) cost?

$13,804

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,804 for this service. Most negotiated rates run $9,333 to $17,378.

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 $13,804 · 10th to 90th $7,762 to $19,953
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $13,804

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
$8,709.64
Median
$14,125.38
Typical High
$19,952.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,218.10
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$15,135.61
Typical High
$25,703.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,952.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$16,218.10
Typical High
$19,952.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$15,848.93
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$13,803.84
Typical High
$19,952.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$12,022.64
Typical High
$21,877.62

Where Pennsylvania sits

The same service costs 6.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $13,804 · 29th of 51
MT $48,978NM $7,586

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.