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Full Term Neonate with Major Problems

Pennsylvania rates for MS-DRG 793

Full Term Neonate with Major Problems

Rates data updated October 2026.

How much does Full Term Neonate with Major Problems cost?

$53,703

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $53,703 for this service. Most negotiated rates run $33,884 to $74,131.

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 $53,703 · 10th to 90th $16,596 to $89,125
$5K$10K$20K$50K$100Kfacility $53,703

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
$38,018.94
Median
$69,183.10
Typical High
$97,723.72
Ambetter
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$9,332.54
Typical High
$42,657.95
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$45,708.82
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$67,608.30
Typical High
$104,712.85
Geisinger
Setting
Facility
Modifier
None
Typical Low
$22,908.68
Median
$56,234.13
Typical High
$83,176.38
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$21,379.62
Typical High
$67,608.30
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$69,183.10
Typical High
$100,000.00
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$38,018.94
Typical High
$64,565.42
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$61,659.50
Typical High
$91,201.08

Where Pennsylvania sits

The same service costs 407.4 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· 23rd of 51

$53,703

AK $112,202HI $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.