go back

Malignancy of Hepatobiliary System or Pancreas (with MCC)

Pennsylvania rates for MS-DRG 435

Malignancy of Hepatobiliary System or Pancreas with MCC

Rates data updated July 2026.

How much does Malignancy of Hepatobiliary System or Pancreas (with MCC) cost?

$28,184

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $28,184 for this service. Most negotiated rates run $20,417 to $34,674.

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 $28,184 · 10th to 90th $16,218 to $40,738
$5K$10K$20K$50Kfacility $28,184

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
$16,982.44
Median
$30,199.52
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$33,884.42
Typical High
$48,977.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$28,183.83
Typical High
$38,904.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$38,904.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$30,199.52
Typical High
$38,018.94
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$31,622.78
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$27,542.29
Typical High
$40,738.03
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$19,952.62
Typical High
$32,359.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$23,442.29
Typical High
$42,657.95

Where Pennsylvania sits

The same service costs 4.9 times more in Montana than in New Mexico. 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· 26th of 51

$28,184

MT $72,444NM $14,791

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.