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Postoperative and Post-Traumatic Infections (without MCC)

Pennsylvania rates for MS-DRG 863

Postoperative and Posttraumatic Infections without MCC

Rates data updated July 2026.

How much does Postoperative and Post-Traumatic Infections (without MCC) cost?

$15,136

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $10,965 to $19,055.

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 $15,136 · 10th to 90th $8,710 to $22,387
$2.0K$5.0K$10.0K$20.0Kfacility $15,136

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
$9,120.11
Median
$16,595.87
Typical High
$22,387.21
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$19,498.45
Typical High
$28,840.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$16,218.10
Typical High
$25,703.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$21,379.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$16,982.44
Typical High
$21,379.62
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$16,218.10
Typical High
$22,387.21
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$15,135.61
Typical High
$22,387.21
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$9,772.37
Typical High
$15,848.93
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$12,882.50
Typical High
$23,442.29

Where Pennsylvania sits

The same service costs 6.2 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 $15,136 · 29th of 51
MT $48,978NM $7,943

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.