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Splenic Procedures with Major Complications

Pennsylvania rates for MS-DRG 799

Splenic Procedures with MCC

Rates data updated July 2026.

How much does Splenic Procedures with Major Complications cost?

$67,608

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $44,668 to $85,114.

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 $67,608 · 10th to 90th $36,308 to $107,152
$10K$20K$50K$100Kfacility $67,608

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
$41,686.94
Median
$74,131.02
Typical High
$107,151.93
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$93,325.43
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$67,608.30
Typical High
$100,000.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$97,723.72
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38,018.94
Median
$74,131.02
Typical High
$91,201.08
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$69,183.10
Typical High
$117,489.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$69,183.10
Typical High
$107,151.93
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$39,810.72
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$58,884.37
Typical High
$107,151.93

Where Pennsylvania sits

The same service costs 5.5 times more in Alaska than in Michigan. 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

$67,608

AK $117,490MI $21,380

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.