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Other Antepartum Diagnoses with Surgery (without CC/MCC)

Pennsylvania rates for MS-DRG 819

Other Antepartum Diagnoses with O.R. Procedures without CC/MCC

Rates data updated July 2026.

How much does Other Antepartum Diagnoses with Surgery (without CC/MCC) cost?

$13,183

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $13,183 for this service. Most negotiated rates run $10,715 to $16,596.

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 $13,183 · 10th to 90th $7,762 to $19,055
$2.0K$5.0K$10.0K$20.0Kfacility $13,183

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
$7,943.28
Median
$13,182.57
Typical High
$19,054.61
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$15,848.93
Typical High
$26,915.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$13,182.57
Typical High
$20,892.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$18,620.87
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$14,791.08
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$15,848.93
Typical High
$19,498.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,882.50
Typical High
$19,054.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,079.46
Median
$9,332.54
Typical High
$15,135.61
United
Setting
Facility
Modifier
Global
Typical Low
$5,248.07
Median
$11,481.54
Typical High
$19,952.62

Where Pennsylvania sits

The same service costs 10.5 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $13,183 · 29th of 51
MT $72,444NM $6,918

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.