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Viral Illness without Major Complications

Pennsylvania rates for MS-DRG 866

Viral Illness without MCC

Rates data updated July 2026.

Facilitymedian $13,183 · 10th–90th $7,413$18,6210%10%10th90th$13,183$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$13,182.57
Typical High
$18,197.01
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,135.61
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$14,125.38
Typical High
$22,387.21
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$15,488.17
Typical High
$18,620.87
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$14,791.08
Typical High
$18,620.87
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,918.31
Median
$12,022.64
Typical High
$19,498.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$7,762.47
Median
$12,882.50
Typical High
$18,197.01
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$8,511.38
Typical High
$13,803.84
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$11,220.18
Typical High
$20,417.38