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Prematurity without Major Problems

Pennsylvania rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated October 2026.

How much does Prematurity without Major Problems cost?

$31,623

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $20,417 to $43,652.

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 $31,623 · 10th to 90th $11,749 to $52,481
$5K$10K$20K$50Kfacility $31,623

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$40,738.03
Typical High
$57,543.99
Ambetter
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$38,018.94
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$42,657.95
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$39,810.72
Typical High
$61,659.50
Geisinger
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$32,359.37
Typical High
$50,118.72
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$14,791.08
Typical High
$39,810.72
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$40,738.03
Typical High
$58,884.37
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$22,387.21
Typical High
$38,018.94
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$36,307.81
Typical High
$53,703.18

Where Pennsylvania sits

The same service costs 239.9 times more in Alaska than in Hawaii. 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· 24th of 51

$31,623

AK $66,069HI $275

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.