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Complicated Peptic Ulcer with Major Complications

Pennsylvania rates for MS-DRG 380

Complicated Peptic Ulcer with MCC

Rates data updated July 2026.

How much does Complicated Peptic Ulcer with Major Complications cost?

$29,512

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $19,498 to $37,154.

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 $29,512 · 10th to 90th $16,218 to $43,652
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $29,512

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
$17,782.79
Median
$31,622.78
Typical High
$43,651.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$37,153.52
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$29,512.09
Typical High
$41,686.94
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$41,686.94
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$33,113.11
Typical High
$39,810.72
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$31,622.78
Typical High
$63,095.73
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$29,512.09
Typical High
$43,651.58
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$17,782.79
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$25,118.86
Typical High
$45,708.82

Where Pennsylvania sits

The same service costs 4.6 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 $29,512 · 26th of 51
MT $72,444NM $15,849

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.