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Stomach, Esophageal and Duodenal Procedure (with MCC)

Pennsylvania rates for MS-DRG 326

Stomach, Esophageal and Duodenal Procedures with MCC

Rates data updated October 2026.

How much does Stomach, Esophageal and Duodenal Procedure (with MCC) cost?

$75,858

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $75,858 for this service. Most negotiated rates run $48,978 to $100,000.

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 $75,858 · 10th to 90th $38,905 to $120,226
$5K$10K$20K$50K$100Kfacility $75,858

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
$48,977.88
Median
$83,176.38
Typical High
$120,226.44
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$44,668.36
Median
$107,151.93
Typical High
$138,038.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$79,432.82
Typical High
$123,026.88
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$87,096.36
Median
$87,096.36
Typical High
$107,151.93
Geisinger
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$70,794.58
Typical High
$102,329.30
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$85,113.80
Typical High
$134,896.29
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$85,113.80
Typical High
$120,226.44
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$45,708.82
Typical High
$77,624.71
United
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$74,131.02
Typical High
$109,647.82

Where Pennsylvania sits

The same service costs 467.7 times more in Vermont 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· 24th of 51

$75,858

VT $128,825HI $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.