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Appendix Procedures with Major Complications

Pennsylvania rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

Facilitymedian $38,019 · 10th–90th $21,878$57,5440%10%10th90th$38,019$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$36,307.81
Typical High
$57,543.99
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$43,651.58
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$38,904.51
Typical High
$52,480.75
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$42,657.95
Typical High
$51,286.14
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$39,810.72
Typical High
$48,977.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$33,113.11
Typical High
$50,118.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$35,481.34
Typical High
$56,234.13
United
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$32,359.37
Typical High
$56,234.13