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Pancreas, Liver and Shunt Procedures (with MCC)

Pennsylvania rates for MS-DRG 405

Pancreas, Liver and Shunt Procedures with MCC

Rates data updated October 2026.

How much does Pancreas, Liver and Shunt Procedures (with MCC) cost?

$83,176

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $83,176 for this service. Most negotiated rates run $53,703 to $107,152.

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 $83,176 · 10th to 90th $42,658 to $128,825
$5K$10K$20K$50K$100Kfacility $83,176

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
$53,703.18
Median
$91,201.08
Typical High
$131,825.67
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$109,647.82
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
None
Typical Low
$45,708.82
Median
$87,096.36
Typical High
$134,896.29
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$95,499.26
Median
$95,499.26
Typical High
$117,489.76
Geisinger
Setting
Facility
Modifier
None
Typical Low
$39,810.72
Median
$75,857.76
Typical High
$112,201.85
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$89,125.09
Median
$114,815.36
Typical High
$147,910.84
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$50,118.72
Median
$93,325.43
Typical High
$131,825.67
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$41,686.94
Median
$50,118.72
Typical High
$85,113.80
United
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$81,283.05
Typical High
$120,226.44

Where Pennsylvania sits

The same service costs 537.0 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· 25th of 51

$83,176

AK $147,911HI $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.