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Malignant Breast Disorders with Complications

Pennsylvania rates for MS-DRG 598

Malignant Breast Disorders with CC

Rates data updated July 2026.

How much does Malignant Breast Disorders with Complications cost?

$16,982

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $16,982 for this service. Most negotiated rates run $12,023 to $21,380.

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 $16,982 · 10th to 90th $9,550 to $25,119
$5K$10K$20Kfacility $16,982

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
$10,471.29
Median
$18,620.87
Typical High
$25,703.96
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$22,908.68
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$18,197.01
Typical High
$27,542.29
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$23,988.33
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$19,054.61
Typical High
$23,988.33
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$17,378.01
Typical High
$23,442.29
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$16,982.44
Typical High
$25,118.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$11,220.18
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$14,791.08
Typical High
$26,302.68

Where Pennsylvania sits

The same service costs 5.4 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· 29th of 51

$16,982

MT $48,978NM $9,120

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.