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Other Digestive System Diagnoses with Complications

Pennsylvania rates for MS-DRG 394

Other Digestive System Diagnoses with CC

Rates data updated July 2026.

How much does Other Digestive System Diagnoses with 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 $9,550 to $18,197.

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 $7,943 to $21,380
$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
$15,488.17
Typical High
$21,379.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$18,620.87
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$15,135.61
Typical High
$23,988.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$16,595.87
Typical High
$19,952.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$16,218.10
Typical High
$19,952.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$15,135.61
Typical High
$23,988.33
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,125.38
Typical High
$20,892.96
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$8,912.51
Typical High
$14,791.08
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 6.5 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 $7,586

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.