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Bone Diseases and Arthropathies with Major Complications

Pennsylvania rates for MS-DRG 553

Bone Diseases and Arthropathies with MCC

Rates data updated October 2026.

How much does Bone Diseases and Arthropathies with Major Complications cost?

$19,498

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $12,882 to $24,547.

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 $19,498 · 10th to 90th $10,471 to $30,200
$5K$10K$20Kfacility $19,498

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
$12,589.25
Median
$21,379.62
Typical High
$30,199.52
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$22,908.68
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$21,379.62
Typical High
$31,622.78
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$22,908.68
Typical High
$27,542.29
Geisinger
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$17,782.79
Typical High
$28,183.83
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$41,686.94
Typical High
$43,651.58
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$21,379.62
Typical High
$30,902.95
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$12,022.64
Typical High
$20,417.38
United
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$19,054.61
Typical High
$28,840.32

Where Pennsylvania sits

The same service costs 128.8 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· 28th of 51

$19,498

AK $35,481HI $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.