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Complicated Peptic Ulcer with Major Complications

Pennsylvania rates for MS-DRG 380

Complicated Peptic Ulcer with MCC

Rates data updated October 2026.

How much does Complicated Peptic Ulcer with Major Complications cost?

$29,512

Typical facility fee. In Pennsylvania, October 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 $15,488 to $45,709
$5K$10K$20K$50Kfacility $29,512

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$32,359.37
Typical High
$45,708.82
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$35,481.34
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$31,622.78
Typical High
$47,863.01
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$41,686.94
Geisinger
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$27,542.29
Typical High
$40,738.03
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$32,359.37
Typical High
$63,095.73
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$32,359.37
Typical High
$46,773.51
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$18,197.01
Typical High
$30,902.95
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$29,512.09
Typical High
$43,651.58

Where Pennsylvania sits

The same service costs 195.0 times more in Alaska than in Hawaii. 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· 22nd of 51

$29,512

AK $53,703HI $275

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.