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Hepatobiliary Diagnostic Procedures with Major Complications

Pennsylvania rates for MS-DRG 420

Hepatobiliary Diagnostic Procedures with MCC

Rates data updated July 2026.

How much does Hepatobiliary Diagnostic Procedures with Major Complications cost?

$51,286

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $51,286 for this service. Most negotiated rates run $37,154 to $69,183.

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 $51,286 · 10th to 90th $28,840 to $75,858
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $51,286

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
$30,902.95
Median
$56,234.13
Typical High
$75,857.76
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$70,794.58
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$51,286.14
Typical High
$74,131.02
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$60,255.96
Typical High
$72,443.60
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$56,234.13
Typical High
$69,183.10
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$67,608.30
Typical High
$102,329.30
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$51,286.14
Typical High
$75,857.76
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$31,622.78
Typical High
$52,480.75
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$44,668.36
Typical High
$79,432.82

Where Pennsylvania sits

The same service costs 4.2 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $51,286 · 27th of 51
NY $89,125MI $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.