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Other Hepatobiliary or Pancreas Surgery (without CC/MCC)

Pennsylvania rates for MS-DRG 425

Other Hepatobiliary or Pancreas O.R. Procedures without CC/MCC

Rates data updated October 2026.

How much does Other Hepatobiliary or Pancreas Surgery (without CC/MCC) cost?

$23,442

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $15,136 to $29,512.

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 $23,442 · 10th to 90th $12,303 to $36,308
$5K$10K$20K$50Kfacility $23,442

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
$14,454.40
Median
$24,547.09
Typical High
$36,307.81
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$28,840.32
Typical High
$40,738.03
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$24,547.09
Typical High
$38,018.94
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$26,302.68
Typical High
$32,359.37
Geisinger
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$21,877.62
Typical High
$38,904.51
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$25,703.96
Typical High
$36,307.81
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$13,803.84
Typical High
$23,442.29
United
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$23,988.33
Typical High
$35,481.34

Where Pennsylvania sits

The same service costs 147.9 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· 24th of 51

$23,442

AK $40,738HI $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.