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Hypertension with Major Complications

Pennsylvania rates for MS-DRG 304

Hypertension with MCC

Rates data updated October 2026.

How much does Hypertension with Major Complications cost?

$18,197

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $12,023 to $22,387.

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 $18,197 · 10th to 90th $9,550 to $27,542
$5K$10K$20Kfacility $18,197

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
$11,481.54
Median
$19,498.45
Typical High
$28,183.83
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$21,379.62
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$10,471.29
Median
$19,498.45
Typical High
$29,512.09
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$25,703.96
Geisinger
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$17,378.01
Typical High
$25,703.96
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$18,197.01
Typical High
$44,668.36
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$19,498.45
Typical High
$28,840.32
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$10,964.78
Typical High
$18,620.87
United
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$26,302.68

Where Pennsylvania sits

The same service costs 117.5 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· 26th of 51

$18,197

AK $32,359HI $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.