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Other Injury, Poisoning and Toxic Effect Diag (without MCC)

Pennsylvania rates for MS-DRG 923

Other Injury, Poisoning and Toxic Effect Diagnoses without MCC

Rates data updated October 2026.

How much does Other Injury, Poisoning and Toxic Effect Diag (without MCC) cost?

$15,488

Typical facility fee. In Pennsylvania, October 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $10,000 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 $15,488 · 10th to 90th $8,128 to $22,909
$5K$10K$20Kfacility $15,488

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
$9,549.93
Median
$16,218.10
Typical High
$23,988.33
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$14,125.38
Typical High
$25,118.86
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$16,982.44
Typical High
$26,302.68
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$17,782.79
Typical High
$21,877.62
Geisinger
Setting
Facility
Modifier
None
Typical Low
$7,413.10
Median
$14,791.08
Typical High
$21,877.62
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$16,595.87
Typical High
$20,417.38
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$16,982.44
Typical High
$24,547.09
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$7,943.28
Median
$9,549.93
Typical High
$16,218.10
United
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$15,135.61
Typical High
$22,387.21

Where Pennsylvania sits

The same service costs 100.0 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

$15,488

AK $27,542HI $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.