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Anal and Stomal Procedures without Complications

Pennsylvania rates for MS-DRG 349

Anal and Stomal Procedures without CC/MCC

Rates data updated July 2026.

How much does Anal and Stomal Procedures without Complications cost?

$13,183

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $9,550 to $17,378.

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 $13,183 · 10th to 90th $7,586 to $20,417
$5K$10K$20Kfacility $13,183

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
$7,943.28
Median
$13,489.63
Typical High
$20,417.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$18,197.01
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$14,125.38
Typical High
$22,387.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$18,620.87
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$15,488.17
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$18,620.87
Typical High
$20,417.38
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$13,182.57
Typical High
$19,952.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,317.64
Typical High
$13,489.63
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,481.54
Typical High
$20,417.38

Where Pennsylvania sits

The same service costs 7.1 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

$13,183

MT $48,978NM $6,918

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.