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Endocrine Disorders with Major Complications

Pennsylvania rates for MS-DRG 643

Endocrine Disorders with MCC

Rates data updated July 2026.

How much does Endocrine Disorders with Major Complications cost?

$25,119

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $25,119 for this service. Most negotiated rates run $17,783 to $30,903.

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 $25,119 · 10th to 90th $14,125 to $36,308
$10K$20K$50Kfacility $25,119

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
$15,135.61
Median
$26,915.35
Typical High
$37,153.52
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$32,359.37
Typical High
$45,708.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$26,302.68
Typical High
$34,673.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$35,481.34
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$27,542.29
Typical High
$33,884.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$28,840.32
Typical High
$42,657.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$25,118.86
Typical High
$36,307.81
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$15,848.93
Typical High
$26,302.68
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$21,379.62
Typical High
$38,904.51

Where Pennsylvania sits

The same service costs 5.5 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· 27th of 51

$25,119

MT $72,444NM $13,183

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.