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Hypertension with Major Complications

Pennsylvania rates for MS-DRG 304

Hypertension with MCC

Rates data updated July 2026.

How much does Hypertension with Major Complications cost?

$18,197

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $18,197 for this service. Most negotiated rates run $12,882 to $21,878.

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 $10,000 to $25,119
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $18,197

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
$10,964.78
Median
$19,054.61
Typical High
$25,118.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,379.62
Typical High
$29,512.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$19,054.61
Typical High
$28,183.83
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$20,892.96
Typical High
$25,703.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$19,952.62
Typical High
$24,547.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$19,054.61
Typical High
$38,018.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$25,118.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$11,748.98
Typical High
$19,054.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$15,488.17
Typical High
$27,542.29

Where Pennsylvania sits

The same service costs 5.1 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 $18,197 · 29th of 51
MT $48,978NM $9,550

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.