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Prematurity without Major Problems

Pennsylvania rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated July 2026.

How much does Prematurity without Major Problems cost?

$34,674

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $21,878 to $44,668.

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 $34,674 · 10th to 90th $15,136 to $51,286
$5K$10K$20K$50Kfacility $34,674

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
$20,417.38
Median
$37,153.52
Typical High
$51,286.14
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$37,153.52
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$37,153.52
Typical High
$51,286.14
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$40,738.03
Typical High
$48,977.88
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$14,454.40
Typical High
$39,810.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$36,307.81
Typical High
$51,286.14
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$21,877.62
Typical High
$38,018.94
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$31,622.78
Typical High
$57,543.99

Where Pennsylvania sits

The same service costs 11.5 times more in Montana than in West Virginia. 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· 23rd of 51

$34,674

MT $72,444WV $6,310

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.