go back

Disorders of the Biliary Tract with Major Complications

Pennsylvania rates for MS-DRG 444

Disorders of the Biliary Tract with MCC

Rates data updated July 2026.

How much does Disorders of the Biliary Tract with Major Complications cost?

$25,119

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $18,197 to $31,623.

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 $25,119 · 10th to 90th $13,804 to $37,154
$5K$10K$20K$50Kfacility $25,119

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
$15,135.61
Median
$27,542.29
Typical High
$37,153.52
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$30,902.95
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$26,915.35
Typical High
$38,018.94
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$29,512.09
Typical High
$35,481.34
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$27,542.29
Typical High
$34,673.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$28,183.83
Typical High
$41,686.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$24,547.09
Typical High
$37,153.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$14,791.08
Typical High
$20,892.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$21,379.62
Typical High
$38,904.51

Where Pennsylvania sits

The same service costs 5.4 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

$25,119

MT $72,444NM $13,490

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.