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Appendix Procedures with Complications

Pennsylvania rates for MS-DRG 398

Appendix Procedures with CC

Rates data updated July 2026.

How much does Appendix Procedures with Complications cost?

$24,547

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $19,055 to $30,903.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24,547 · 10th to 90th $13,804 to $35,481
$5K$10K$20K$50Kfacility $24,547

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
$13,803.84
Median
$22,908.68
Typical High
$35,481.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$24,547.09
Typical High
$38,904.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$32,359.37
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$25,118.86
Typical High
$31,622.78
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$28,840.32
Typical High
$39,810.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$22,387.21
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$20,417.38
Typical High
$35,481.34

Where Pennsylvania sits

The same service costs 3.4 times more in Oregon 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· 26th of 51

$24,547

OR $40,738NM $12,023

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.