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Other Digestive System Diagnoses with Major Complications

Pennsylvania rates for MS-DRG 393

Other Digestive System Diagnoses with MCC

Rates data updated October 2026.

How much does Other Digestive System Diagnoses with Major Complications cost?

$25,119

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $16,218 to $31,623.

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 $25,119 · 10th to 90th $12,882 to $38,905
$5K$10K$20K$50Kfacility $25,119

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
$14,791.08
Median
$26,302.68
Typical High
$38,904.51
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$31,622.78
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$26,915.35
Typical High
$39,810.72
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$28,183.83
Typical High
$33,884.42
Geisinger
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$23,442.29
Typical High
$33,884.42
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$29,512.09
Typical High
$51,286.14
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$38,904.51
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$14,791.08
Typical High
$25,118.86
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$23,988.33
Typical High
$35,481.34

Where Pennsylvania sits

The same service costs 158.5 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· 23rd of 51

$25,119

AK $43,652HI $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.