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Complications of Treatment with Major Complications

Pennsylvania rates for MS-DRG 919

Complications of Treatment with MCC

Rates data updated July 2026.

How much does Complications of Treatment with Major Complications cost?

$26,915

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $18,197 to $34,674.

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 $26,915 · 10th to 90th $15,136 to $39,811
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $26,915

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
$16,595.87
Median
$27,542.29
Typical High
$39,810.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$33,113.11
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$28,183.83
Typical High
$38,904.51
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$32,359.37
Typical High
$38,904.51
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$30,199.52
Typical High
$37,153.52
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$30,902.95
Typical High
$48,977.88
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$26,915.35
Typical High
$39,810.72
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$16,595.87
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$23,442.29
Typical High
$42,657.95

Where Pennsylvania sits

The same service costs 4.9 times more in Montana than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $26,915 · 29th of 51
MT $72,444MS $14,791

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.