go back

Endocrine/Nutritional/Metabolic Surgery (with MCC)

Pennsylvania rates for MS-DRG 628

Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC

Rates data updated July 2026.

How much does Endocrine/Nutritional/Metabolic Surgery (with MCC) cost?

$54,954

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $37,154 to $69,183.

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 $54,954 · 10th to 90th $30,200 to $79,433
$10K$20K$50K$100Kfacility $54,954

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
$33,884.42
Median
$57,543.99
Typical High
$79,432.82
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$66,069.34
Typical High
$102,329.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$56,234.13
Typical High
$83,176.38
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$79,432.82
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$60,255.96
Typical High
$75,857.76
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$48,977.88
Typical High
$95,499.26
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$56,234.13
Typical High
$79,432.82
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$33,884.42
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$47,863.01
Typical High
$87,096.36

Where Pennsylvania sits

The same service costs 4.6 times more in Alaska than in Michigan. 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

$54,954

AK $97,724MI $21,380

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.