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Neonate with Other Significant Problems

Pennsylvania rates for MS-DRG 794

Neonate with Other Significant Problems

Rates data updated October 2026.

How much does Neonate with Other Significant Problems cost?

$16,218

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $16,218 for this service. Most negotiated rates run $7,586 to $25,704.

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 $16,218 · 10th to 90th $3,802 to $30,903
$2K$5K$10K$20Kfacility $16,218

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
$13,182.57
Median
$24,547.09
Typical High
$34,673.69
Ambetter
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$14,791.08
Typical High
$25,703.96
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,570.40
Median
$8,128.31
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$23,988.33
Typical High
$37,153.52
Geisinger
Setting
Facility
Modifier
None
Typical Low
$8,128.31
Median
$19,952.62
Typical High
$30,902.95
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$2,290.87
Median
$5,248.07
Typical High
$22,908.68
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$24,547.09
Typical High
$35,481.34
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$11,481.54
Median
$13,489.63
Typical High
$22,908.68
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$21,877.62
Typical High
$32,359.37

Where Pennsylvania sits

The same service costs 144.5 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· 34th of 51

$16,218

AK $39,811HI $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.