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Connective Tissue Disorders with Major Complications

Pennsylvania rates for MS-DRG 545

Connective Tissue Disorders with MCC

Rates data updated July 2026.

How much does Connective Tissue Disorders with Major Complications cost?

$37,154

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $26,915 to $47,863.

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 $37,154 · 10th to 90th $20,417 to $56,234
$10K$20K$50Kfacility $37,154

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
$22,908.68
Median
$40,738.03
Typical High
$56,234.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$47,863.01
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$37,153.52
Typical High
$53,703.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$53,703.18
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$40,738.03
Typical High
$51,286.14
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$53,703.18
Typical High
$177,827.94
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$37,153.52
Typical High
$56,234.13
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$23,442.29
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$32,359.37
Typical High
$57,543.99

Where Pennsylvania sits

The same service costs 3.1 times more in Colorado 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

$37,154

CO $61,660NM $19,953

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.