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Other Circulatory System Diagnoses with Complications

Pennsylvania rates for MS-DRG 315

Other Circulatory System Diagnoses with CC

Rates data updated July 2026.

How much does Other Circulatory System Diagnoses with Complications cost?

$14,791

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $14,791 for this service. Most negotiated rates run $10,471 to $18,621.

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 $14,791 · 10th to 90th $8,318 to $21,878
$5K$10K$20Kfacility $14,791

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
$8,912.51
Median
$15,848.93
Typical High
$21,877.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$19,054.61
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$15,488.17
Typical High
$24,547.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$16,982.44
Typical High
$20,417.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$16,218.10
Typical High
$20,417.38
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$16,982.44
Typical High
$23,988.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$14,454.40
Typical High
$21,379.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$9,549.93
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$4,365.16
Median
$12,589.25
Typical High
$22,387.21

Where Pennsylvania sits

The same service costs 6.3 times more in Montana than in New Mexico. 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· 28th of 51

$14,791

MT $48,978NM $7,762

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.