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Other Digestive System Diagnoses without Complications

Pennsylvania rates for MS-DRG 395

Other Digestive System Diagnoses without CC/MCC

Rates data updated July 2026.

How much does Other Digestive System Diagnoses without Complications cost?

$9,772

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $9,772 for this service. Most negotiated rates run $6,761 to $12,589.

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 $9,772 · 10th to 90th $5,623 to $15,136
$5K$10K$20Kfacility $9,772

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
$5,888.44
Median
$10,715.19
Typical High
$15,135.61
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$13,489.63
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,471.29
Typical High
$16,595.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$11,481.54
Typical High
$13,803.84
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$11,220.18
Typical High
$14,454.40
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$12,589.25
Typical High
$18,197.01
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,772.37
Typical High
$14,454.40
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$9,772.37
United
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$8,317.64
Typical High
$15,135.61

Where Pennsylvania sits

The same service costs 9.3 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· 30th of 51

$9,772

MT $48,978NM $5,248

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.