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Other Digestive Operating Room Procedures (without CC/MCC)

Pennsylvania rates for MS-DRG 358

Other Digestive System O.R. Procedures without CC/MCC

Rates data updated July 2026.

How much does Other Digestive Operating Room Procedures (without CC/MCC) cost?

$21,380

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $21,380 for this service. Most negotiated rates run $15,136 to $26,915.

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 $21,380 · 10th to 90th $11,749 to $31,623
$5K$10K$20Kfacility $21,380

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
$12,882.50
Median
$22,908.68
Typical High
$31,622.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$26,915.35
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$22,387.21
Typical High
$35,481.34
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$30,199.52
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$23,442.29
Typical High
$28,840.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$26,915.35
Typical High
$38,904.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,379.62
Typical High
$31,622.78
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$13,489.63
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$18,197.01
Typical High
$32,359.37

Where Pennsylvania sits

The same service costs 4.4 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· 27th of 51

$21,380

MT $48,978NM $11,220

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.