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Major Bladder Procedures with Complications

Pennsylvania rates for MS-DRG 654

Major Bladder Procedures with CC

Rates data updated July 2026.

How much does Major Bladder Procedures with Complications cost?

$42,658

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $29,512 to $52,481.

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 $42,658 · 10th to 90th $23,988 to $66,069
$10K$20K$50Kfacility $42,658

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
$25,703.96
Median
$45,708.82
Typical High
$66,069.34
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$57,543.99
Typical High
$87,096.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$43,651.58
Typical High
$58,884.37
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$48,977.88
Median
$48,977.88
Typical High
$60,255.96
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$45,708.82
Typical High
$56,234.13
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$58,884.37
Typical High
$77,624.71
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$42,657.95
Typical High
$66,069.34
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$27,542.29
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$36,307.81
Typical High
$66,069.34

Where Pennsylvania sits

The same service costs 3.4 times more in New York 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· 26th of 51

$42,658

NY $72,444MI $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.