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Soft Tissue Procedures with Major Complications

Pennsylvania rates for MS-DRG 500

Soft Tissue Procedures with MCC

Rates data updated October 2026.

How much does Soft Tissue Procedures with Major Complications cost?

$47,863

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $47,863 for this service. Most negotiated rates run $30,903 to $60,256.

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 $47,863 · 10th to 90th $25,119 to $72,444
$5K$10K$20K$50K$100Kfacility $47,863

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
$29,512.09
Median
$52,480.75
Typical High
$75,857.76
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$58,884.37
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$51,286.14
Typical High
$77,624.71
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$56,234.13
Median
$56,234.13
Typical High
$67,608.30
Geisinger
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$44,668.36
Typical High
$66,069.34
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$52,480.75
Typical High
$81,283.05
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$52,480.75
Typical High
$75,857.76
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$28,840.32
Typical High
$48,977.88
United
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$46,773.51
Typical High
$70,794.58

Where Pennsylvania sits

The same service costs 309.0 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· 27th of 51

$47,863

AK $85,114HI $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.