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Other Digestive System Operating Room Procedures (with MCC)

Pennsylvania rates for MS-DRG 356

Other Digestive System O.R. Procedures with MCC

Rates data updated July 2026.

How much does Other Digestive System Operating Room Procedures (with MCC) cost?

$66,069

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $66,069 for this service. Most negotiated rates run $44,668 to $83,176.

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 $66,069 · 10th to 90th $36,308 to $93,325
$10K$20K$50K$100Kfacility $66,069

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
$39,810.72
Median
$67,608.30
Typical High
$93,325.43
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$77,624.71
Typical High
$117,489.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$66,069.34
Typical High
$93,325.43
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$77,624.71
Typical High
$93,325.43
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$70,794.58
Typical High
$87,096.36
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$70,794.58
Typical High
$123,026.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$66,069.34
Typical High
$93,325.43
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$40,738.03
Typical High
$67,608.30
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$56,234.13
Typical High
$102,329.30

Where Pennsylvania sits

The same service costs 5.4 times more in New York than in Michigan. 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

$66,069

NY $114,815MI $21,380

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.