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Malignant Breast Disorders without Complications

Pennsylvania rates for MS-DRG 599

Malignant Breast Disorders without CC/MCC

Rates data updated October 2026.

How much does Malignant Breast Disorders without Complications cost?

$11,749

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $7,762 to $14,791.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,749 · 10th to 90th $6,310 to $17,783
$5K$10K$20Kfacility $11,749

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
$7,244.36
Median
$12,882.50
Typical High
$18,197.01
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$14,125.38
Typical High
$21,379.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$12,882.50
Typical High
$19,498.45
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$13,489.63
Typical High
$16,595.87
Geisinger
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$11,220.18
Typical High
$17,378.01
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$12,882.50
Typical High
$18,620.87
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$7,413.10
Typical High
$12,302.69
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$10,964.78
Typical High
$16,982.44

Where Pennsylvania sits

The same service costs 75.9 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

$11,749

AK $20,893HI $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.