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Digestive Malignancy with Major Complications

Pennsylvania rates for MS-DRG 374

Digestive Malignancy with MCC

Rates data updated July 2026.

How much does Digestive Malignancy with Major Complications cost?

$32,359

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $32,359 for this service. Most negotiated rates run $24,547 to $40,738.

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 $32,359 · 10th to 90th $19,055 to $46,774
$10K$20K$50Kfacility $32,359

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
$19,498.45
Median
$33,884.42
Typical High
$46,773.51
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$39,810.72
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$32,359.37
Typical High
$44,668.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$38,018.94
Typical High
$45,708.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$35,481.34
Typical High
$43,651.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$36,307.81
Typical High
$52,480.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$31,622.78
Typical High
$46,773.51
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$22,908.68
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$27,542.29
Typical High
$50,118.72

Where Pennsylvania sits

The same service costs 4.2 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

$32,359

MT $72,444NM $17,378

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.