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Prematurity with Major Problems

Pennsylvania rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$58,884

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $58,884 for this service. Most negotiated rates run $39,811 to $75,858.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $58,884 · 10th to 90th $29,512 to $85,114
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $58,884

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
$61,659.50
Typical High
$85,113.80
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$46,773.51
Typical High
$75,857.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$66,069.34
Typical High
$107,151.93
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$66,069.34
Typical High
$81,283.05
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$46,773.51
Typical High
$87,096.36
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$36,307.81
Median
$60,255.96
Typical High
$85,113.80
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$37,153.52
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$52,480.75
Typical High
$95,499.26

Where Pennsylvania sits

The same service costs 8.5 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $58,884 · 24th of 51
AK $100,000WV $11,749

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.