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Osteomyelitis with Major Complications

Pennsylvania rates for MS-DRG 539

Osteomyelitis with MCC

Rates data updated July 2026.

How much does Osteomyelitis with Major Complications cost?

$29,512

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $29,512 for this service. Most negotiated rates run $21,380 to $37,154.

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 $29,512 · 10th to 90th $16,596 to $43,652
$10K$20K$50Kfacility $29,512

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
$18,197.01
Median
$32,359.37
Typical High
$43,651.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$39,810.72
Typical High
$52,480.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$29,512.09
Typical High
$42,657.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$34,673.69
Typical High
$42,657.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$33,113.11
Typical High
$40,738.03
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$35,481.34
Typical High
$46,773.51
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$29,512.09
Typical High
$43,651.58
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$18,620.87
Typical High
$30,902.95
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$25,703.96
Typical High
$45,708.82

Where Pennsylvania sits

The same service costs 3.2 times more in Alaska 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· 29th of 51

$29,512

AK $50,119NM $15,849

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.