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Thrombolysis of Peripheral Vascular Structures (with MCC)

Utah rates for MS-DRG 278

Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC

Rates data updated October 2026.

How much does Thrombolysis of Peripheral Vascular Structures (with MCC) cost?

$91,201

Typical facility fee. In Utah, October 2026.

Insurers have agreed to pay about $91,201 for this service. Most negotiated rates run $41,687 to $125,893.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $91,201 · 10th to 90th $38,905 to $162,181
$2K$5K$10K$20K$50K$100K$200Kfacility $91,201

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$79,432.82
Median
$107,151.93
Typical High
$123,026.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$91,201.08
Median
$125,892.54
Typical High
$162,181.01
Select Health
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$41,686.94
Typical High
$123,026.88
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$38,904.51
Typical High
$74,131.02

Where Utah sits

The same service costs 524.8 times more in Vermont 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.

Utah· 18th of 51

$91,201

VT $144,544HI $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.