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Malignancy of Hepatobiliary System/Pancreas (without CC/MCC)

Pennsylvania rates for MS-DRG 437

Malignancy of Hepatobiliary System or Pancreas without CC/MCC

Rates data updated July 2026.

How much does Malignancy of Hepatobiliary System/Pancreas (without CC/MCC) cost?

$12,882

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $12,882 for this service. Most negotiated rates run $8,511 to $16,596.

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 $12,882 · 10th to 90th $7,244 to $19,953
$5K$10K$20Kfacility $12,882

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
$7,762.47
Median
$14,125.38
Typical High
$19,952.62
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$17,782.79
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$13,803.84
Typical High
$21,877.62
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$18,197.01
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$14,791.08
Typical High
$18,197.01
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$17,782.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,882.50
Typical High
$19,952.62
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$7,762.47
Typical High
$10,232.93
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$11,220.18
Typical High
$19,952.62

Where Pennsylvania sits

The same service costs 7.1 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· 28th of 51

$12,882

MT $48,978NM $6,918

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.