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Benign Prostatic Hypertrophy with Major Complications

Pennsylvania rates for MS-DRG 725

Benign Prostatic Hypertrophy with MCC

Rates data updated July 2026.

How much does Benign Prostatic Hypertrophy with Major Complications cost?

$17,783

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $17,783 for this service. Most negotiated rates run $11,749 to $22,387.

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 $17,783 · 10th to 90th $9,772 to $26,303
$5K$10K$20Kfacility $17,783

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
$10,715.19
Median
$18,620.87
Typical High
$26,302.68
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$23,988.33
Typical High
$34,673.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,232.93
Median
$19,054.61
Typical High
$28,840.32
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$25,118.86
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$19,952.62
Typical High
$24,547.09
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$37,153.52
Typical High
$37,153.52
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$26,302.68
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$18,197.01
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$15,135.61
Typical High
$27,542.29

Where Pennsylvania sits

The same service costs 7.8 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· 28th of 51

$17,783

MT $72,444NM $9,333

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.