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Reticuloendothelial and Immunity Disorders (without CC/MCC)

Pennsylvania rates for MS-DRG 816

Reticuloendothelial and Immunity Disorders without CC/MCC

Rates data updated October 2026.

How much does Reticuloendothelial and Immunity Disorders (without CC/MCC) cost?

$10,000

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $6,761 to $12,882.

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 $10,000 · 10th to 90th $5,370 to $15,849
$5K$10K$20Kfacility $10,000

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
$6,165.95
Median
$10,715.19
Typical High
$15,135.61
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$20,417.38
Cigna
Setting
Facility
Modifier
None
Typical Low
$5,888.44
Median
$10,471.29
Typical High
$16,218.10
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$11,220.18
Typical High
$13,489.63
Geisinger
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$9,772.37
Typical High
$15,135.61
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$12,589.25
Typical High
$18,620.87
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$10,715.19
Typical High
$15,848.93
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$6,165.95
Typical High
$10,232.93
United
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$9,549.93
Typical High
$14,791.08

Where Pennsylvania sits

The same service costs 74.1 times more in Delaware 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· 29th of 51

$10,000

DE $20,417HI $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.