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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 July 2026.

How much does Other Circulatory System Diagnoses without Complications cost?

$10,233

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $10,233 for this service. Most negotiated rates run $6,918 to $13,183.

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 $10,233 · 10th to 90th $5,888 to $15,136
$5K$10K$20Kfacility $10,233

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
$6,309.57
Median
$11,220.18
Typical High
$14,791.08
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$13,803.84
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$10,964.78
Typical High
$17,378.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$12,022.64
Typical High
$14,454.40
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$11,748.98
Typical High
$15,135.61
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$13,803.84
Typical High
$19,952.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$10,232.93
Typical High
$15,135.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$6,309.57
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$8,912.51
Typical High
$15,848.93

Where Pennsylvania sits

The same service costs 8.7 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· 29th of 51

$10,233

MT $48,978NM $5,623

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.