go back

Neonate with Other Significant Problems

Pennsylvania rates for MS-DRG 794

Neonate with Other Significant Problems

Rates data updated July 2026.

How much does Neonate with Other Significant Problems cost?

$19,498

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $12,023 to $26,303.

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 $19,498 · 10th to 90th $4,786 to $30,903
$2K$5K$10K$20Kfacility $19,498

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
$10,000.00
Median
$21,877.62
Typical High
$31,622.78
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$2,454.71
Median
$16,218.10
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$22,387.21
Typical High
$30,902.95
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$24,547.09
Typical High
$30,199.52
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$4,786.30
Typical High
$19,952.62
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$21,877.62
Typical High
$31,622.78
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$13,489.63
Typical High
$22,908.68
United
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$19,054.61
Typical High
$34,673.69

Where Pennsylvania sits

The same service costs 17.8 times more in Montana than in Idaho. 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

$19,498

MT $72,444ID $4,074

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.