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Other Injury, Poisoning and Toxic Effect (with MCC)

Pennsylvania rates for MS-DRG 922

Other Injury, Poisoning and Toxic Effect Diagnoses with MCC

Rates data updated October 2026.

How much does Other Injury, Poisoning and Toxic Effect (with MCC) cost?

$26,303

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $17,378 to $33,113.

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 $26,303 · 10th to 90th $13,804 to $38,905
$5K$10K$20K$50Kfacility $26,303

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$16,595.87
Median
$28,840.32
Typical High
$40,738.03
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$28,183.83
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$28,840.32
Typical High
$42,657.95
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$30,902.95
Median
$30,902.95
Typical High
$37,153.52
Geisinger
Setting
Facility
Modifier
None
Typical Low
$12,589.25
Median
$24,547.09
Typical High
$36,307.81
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$12,882.50
Median
$25,118.86
Typical High
$173,780.08
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$28,840.32
Typical High
$41,686.94
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$13,489.63
Median
$16,218.10
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$24,547.09
Typical High
$38,904.51

Where Pennsylvania sits

The same service costs 173.8 times more in Alaska than in Hawaii. 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

$26,303

AK $47,863HI $275

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.