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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 October 2026.

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

$14,125

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $9,550 to $17,783.

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 $14,125 · 10th to 90th $7,762 to $21,878
$5K$10K$20Kfacility $14,125

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
$9,120.11
Median
$15,488.17
Typical High
$21,877.62
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$9,772.37
Median
$15,135.61
Typical High
$23,442.29
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$15,848.93
Typical High
$23,988.33
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,952.62
Geisinger
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$13,803.84
Typical High
$20,417.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10,232.93
Median
$16,982.44
Typical High
$25,703.96
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$15,488.17
Typical High
$22,908.68
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$14,791.08
United
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$14,125.38
Typical High
$20,892.96

Where Pennsylvania sits

The same service costs 93.3 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· 28th of 51

$14,125

AK $25,704HI $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.