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Diabetes with Complications

Pennsylvania rates for MS-DRG 638

Diabetes with CC

Rates data updated July 2026.

How much does Diabetes with Complications cost?

$13,490

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $9,550 to $16,982.

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 $13,490 · 10th to 90th $7,586 to $19,498
$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $13,490

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
$8,128.31
Median
$14,454.40
Typical High
$19,498.45
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$16,595.87
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$14,454.40
Typical High
$23,988.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$15,848.93
Typical High
$19,054.61
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$15,848.93
Typical High
$19,054.61
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$12,022.64
Typical High
$19,054.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$13,182.57
Typical High
$19,498.45
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$8,912.51
Typical High
$14,454.40
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$11,481.54
Typical High
$20,892.96

Where Pennsylvania sits

The same service costs 6.8 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $13,490 · 29th of 51
MT $48,978NM $7,244

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.