go back

Non-Malignant Breast Disorders without Complications

Pennsylvania rates for MS-DRG 601

Nonmalignant Breast Disorders without CC/MCC

Rates data updated October 2026.

How much does Non-Malignant Breast Disorders without Complications cost?

$9,333

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $9,333 for this service. Most negotiated rates run $6,310 to $12,023.

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 $9,333 · 10th to 90th $5,129 to $14,454
$5K$10K$20Kfacility $9,333

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
$5,623.41
Median
$10,232.93
Typical High
$14,454.40
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$12,882.50
Typical High
$19,498.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$10,000.00
Typical High
$15,488.17
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$10,715.19
Typical High
$12,882.50
Geisinger
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$9,332.54
Typical High
$14,791.08
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,025.60
Median
$7,943.28
Typical High
$12,022.64
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$10,232.93
Typical High
$14,454.40
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$5,888.44
Typical High
$9,772.37
United
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$8,912.51
Typical High
$13,489.63

Where Pennsylvania sits

The same service costs 74.1 times more in Michigan 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· 29th of 51

$9,333

MI $20,417HI $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.