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Upper Limb and Toe Amputation, Circulatory (without CC/MCC)

Pennsylvania rates for MS-DRG 257

Upper Limb and Toe Amputation for Circulatory System Disorders without CC/MCC

Rates data updated July 2026.

How much does Upper Limb and Toe Amputation, Circulatory (without CC/MCC) cost?

$16,218

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $10,715 to $20,417.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $16,218 · 10th to 90th $9,120 to $23,988
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $16,218

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
$10,000.00
Median
$18,197.01
Typical High
$23,988.33
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$20,892.96
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$17,782.79
Typical High
$28,840.32
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$19,054.61
Typical High
$23,442.29
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$18,620.87
Typical High
$22,908.68
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,595.87
Typical High
$23,988.33
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$10,232.93
Typical High
$17,378.01
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$14,125.38
Typical High
$25,703.96

Where Pennsylvania sits

The same service costs 5.6 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 $16,218 · 29th of 51
MT $48,978NM $8,710

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.