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Upper Limb and Toe Amputation, Circulatory (with CC)

Pennsylvania rates for MS-DRG 256

Upper Limb and Toe Amputation for Circulatory System Disorders with CC

Rates data updated October 2026.

How much does Upper Limb and Toe Amputation, Circulatory (with CC) cost?

$25,704

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $16,982 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 $25,704 · 10th to 90th $13,804 to $39,811
$5K$10K$20K$50Kfacility $25,704

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
$15,848.93
Median
$28,183.83
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$30,902.95
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$28,183.83
Typical High
$42,657.95
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$36,307.81
Geisinger
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$23,988.33
Typical High
$35,481.34
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$28,840.32
Typical High
$34,673.69
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$28,183.83
Typical High
$40,738.03
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$15,488.17
Typical High
$26,302.68
United
Setting
Facility
Modifier
None
Typical Low
$7,762.47
Median
$25,118.86
Typical High
$37,153.52

Where Pennsylvania sits

The same service costs 166.0 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· 27th of 51

$25,704

AK $45,709HI $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.