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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 July 2026.

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

$83,176

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $83,176 for this service. Most negotiated rates run $61,660 to $104,713.

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 $47,863 to $123,027
$10K$20K$50K$100Kfacility $83,176

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
$50,118.72
Median
$91,201.08
Typical High
$123,026.88
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$107,151.93
Typical High
$154,881.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$83,176.38
Typical High
$114,815.36
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$95,499.26
Typical High
$117,489.76
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$89,125.09
Typical High
$109,647.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$95,499.26
Median
$117,489.76
Typical High
$158,489.32
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$83,176.38
Typical High
$123,026.88
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$46,773.51
Median
$58,884.37
Typical High
$95,499.26
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$70,794.58
Typical High
$128,824.96

Where Pennsylvania sits

The same service costs 7.9 times more in California than in Michigan. 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· 27th of 51

$83,176

CA $169,824MI $21,380

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.