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Medical Back Problems with Major Complications

Pennsylvania rates for MS-DRG 551

Medical Back Problems with MCC

Rates data updated July 2026.

Facilitymedian $25,119 · 10th–90th $13,490$37,1540%10%10th90th$25,119$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$26,915.35
Typical High
$37,153.52
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$30,902.95
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$26,915.35
Typical High
$36,307.81
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
$28,183.83
Typical High
$33,884.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$28,840.32
Typical High
$40,738.03
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$25,118.86
Typical High
$37,153.52
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$14,791.08
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$21,379.62
Typical High
$38,904.51