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Operating Room Procedure with Mental Illness Diagnosis

Pennsylvania rates for MS-DRG 876

O.R. Procedures with Principal Diagnosis of Mental Illness

Rates data updated July 2026.

How much does Operating Room Procedure with Mental Illness Diagnosis cost?

$57,544

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $39,811 to $72,444.

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 $57,544 · 10th to 90th $31,623 to $81,283
$2K$5K$10K$20K$50K$100Kfacility $57,544

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
$35,481.34
Median
$58,884.37
Typical High
$81,283.05
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$7,943.28
Median
$58,884.37
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$28,840.32
Typical High
$60,255.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$67,608.30
Median
$67,608.30
Typical High
$83,176.38
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$63,095.73
Typical High
$79,432.82
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$67,608.30
Typical High
$97,723.72
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$57,543.99
Typical High
$81,283.05
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$29,512.09
Median
$34,673.69
Typical High
$58,884.37
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$50,118.72
Typical High
$91,201.08

Where Pennsylvania sits

The same service costs 4.7 times more in Vermont 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· 25th of 51

$57,544

VT $100,000MI $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.