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Digestive Malignancy without Complications

Pennsylvania rates for MS-DRG 376

Digestive Malignancy without CC/MCC

Rates data updated July 2026.

How much does Digestive Malignancy without Complications cost?

$14,125

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $14,125 for this service. Most negotiated rates run $10,471 to $17,783.

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 $14,125 · 10th to 90th $8,318 to $20,417
$5K$10K$20Kfacility $14,125

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
$8,511.38
Median
$15,135.61
Typical High
$20,417.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$18,197.01
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$14,791.08
Typical High
$23,442.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,952.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$15,488.17
Typical High
$19,498.45
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$16,595.87
Typical High
$26,302.68
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,803.84
Typical High
$20,417.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$10,000.00
Typical High
$16,218.10
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$12,022.64
Typical High
$21,877.62

Where Pennsylvania sits

The same service costs 6.6 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

$14,125

MT $48,978NM $7,413

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.