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Other Circulatory System Diagnoses without Complications

Pennsylvania rates for MS-DRG 316

Other Circulatory System Diagnoses without CC/MCC

Rates data updated October 2026.

How much does Other Circulatory System Diagnoses without Complications cost?

$10,715

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $10,715 for this service. Most negotiated rates run $7,244 to $13,490.

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 $10,715 · 10th to 90th $5,754 to $16,596
$2K$5K$10K$20Kfacility $10,715

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
$6,606.93
Median
$11,220.18
Typical High
$15,848.93
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$13,489.63
Typical High
$20,892.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$11,481.54
Typical High
$17,378.01
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$14,454.40
Geisinger
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$10,000.00
Typical High
$16,218.10
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$14,791.08
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$6,309.57
Median
$11,481.54
Typical High
$16,595.87
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$6,606.93
Typical High
$10,964.78
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$10,232.93
Typical High
$15,135.61

Where Pennsylvania sits

The same service costs 74.1 times more in Michigan 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· 25th of 51

$10,715

MI $20,417HI $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.