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Major Esophageal Disorders with Complications

Pennsylvania rates for MS-DRG 369

Major Esophageal Disorders with CC

Rates data updated July 2026.

How much does Major Esophageal Disorders with Complications cost?

$15,136

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $10,000 to $19,055.

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 $15,136 · 10th to 90th $8,318 to $22,909
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $15,136

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
$9,120.11
Median
$16,595.87
Typical High
$23,442.29
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$20,892.96
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$16,218.10
Typical High
$25,703.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$21,379.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$16,982.44
Typical High
$21,379.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$18,197.01
Typical High
$25,118.86
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$15,135.61
Typical High
$22,908.68
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$9,332.54
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$12,882.50
Typical High
$23,442.29

Where Pennsylvania sits

The same service costs 6.0 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $15,136 · 29th of 51
MT $48,978NM $8,128

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.