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Musculoskeletal and Connective Tissue Symptoms (with MCC)

Pennsylvania rates for MS-DRG 555

Signs and Symptoms of Musculoskeletal System and Connective Tissue with MCC

Rates data updated July 2026.

How much does Musculoskeletal and Connective Tissue Symptoms (with MCC) cost?

$19,498

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $13,183 to $25,119.

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 $10,965 to $28,840
$5K$10K$20Kfacility $19,498

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
$12,022.64
Median
$19,952.62
Typical High
$28,840.32
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$24,547.09
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$21,379.62
Typical High
$29,512.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$28,183.83
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$22,387.21
Typical High
$27,542.29
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$37,153.52
Typical High
$52,480.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$19,498.45
Typical High
$28,840.32
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$12,022.64
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$16,982.44
Typical High
$30,902.95

Where Pennsylvania sits

The same service costs 3.2 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· 29th of 51

$19,498

MT $33,884NM $10,715

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.