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Musculoskeletal/Connective Tissue Diagnoses (with MCC)

Pennsylvania rates for MS-DRG 564

Other Musculoskeletal System and Connective Tissue Diagnoses with MCC

Rates data updated October 2026.

How much does Musculoskeletal/Connective Tissue Diagnoses (with MCC) cost?

$23,442

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $23,442 for this service. Most negotiated rates run $15,136 to $29,512.

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 $23,442 · 10th to 90th $12,303 to $36,308
$5K$10K$20K$50Kfacility $23,442

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
$14,454.40
Median
$25,703.96
Typical High
$36,307.81
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$28,840.32
Typical High
$39,810.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$25,703.96
Typical High
$38,904.51
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$33,113.11
Geisinger
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$22,387.21
Typical High
$40,738.03
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$26,302.68
Typical High
$53,703.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$25,703.96
Typical High
$37,153.52
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$14,125.38
Typical High
$23,988.33
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$22,908.68
Typical High
$33,884.42

Where Pennsylvania sits

The same service costs 151.4 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· 26th of 51

$23,442

AK $41,687HI $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.