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Septic Arthritis without Complications

Pennsylvania rates for MS-DRG 550

Septic Arthritis without CC/MCC

Rates data updated July 2026.

How much does Septic Arthritis without Complications cost?

$13,183

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $9,550 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 $13,183 · 10th to 90th $7,586 to $19,055
$5K$10K$20Kfacility $13,183

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
$7,943.28
Median
$14,125.38
Typical High
$19,054.61
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$17,378.01
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$14,125.38
Typical High
$22,387.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$18,620.87
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$15,488.17
Typical High
$19,054.61
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$21,379.62
Typical High
$21,379.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,182.57
Typical High
$19,054.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,317.64
Typical High
$13,489.63
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$11,481.54
Typical High
$20,417.38

Where Pennsylvania sits

The same service costs 3.4 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

$13,183

MT $23,988NM $7,079

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.