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Hepatobiliary Diagnostic Procedures without Complications

Pennsylvania rates for MS-DRG 422

Hepatobiliary Diagnostic Procedures without CC/MCC

Rates data updated July 2026.

How much does Hepatobiliary Diagnostic Procedures without Complications cost?

$20,893

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $13,804 to $26,303.

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 $20,893 · 10th to 90th $11,749 to $29,512
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $20,893

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
$12,882.50
Median
$21,379.62
Typical High
$29,512.09
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$27,542.29
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,748.98
Median
$22,387.21
Typical High
$35,481.34
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$30,199.52
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$23,442.29
Typical High
$28,840.32
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$33,884.42
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$21,379.62
Typical High
$30,902.95
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$13,182.57
Typical High
$21,877.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$18,197.01
Typical High
$33,113.11

Where Pennsylvania sits

The same service costs 4.4 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $20,893 · 27th of 51
MT $48,978NM $11,220

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.