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Removal Of Part Of The Diaphragm With Complex Repair

Montana rates for HCPCS 39561

Cuts out a section of the diaphragm, the muscle sheet separating the chest from the abdomen, and rebuilds the gap with a complex repair, often using a patch of synthetic or biological material. It is done when disease involves the diaphragm itself or has spread onto it from nearby. The repair must be airtight so the chest and abdomen stay properly separated.

Rates data updated October 2026.

How much does Removal Of Part Of The Diaphragm With Complex Repair cost?

$4,085

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $4,085 for this procedure. That total is two separate charges: $1,995 to the doctor who performs it, and $2,089 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,995$1,288 to $1,995
Facility feeThe hospital or surgery center$2,089$1,778 to $2,089

How much rates vary

Facilitymedian $2,089 · 10th to 90th $1,230 to $2,239Professionalmedian $1,995 · 10th to 90th $79 to $2,239
$100$200$500$1K$2Kfacility $2,089professional $1,995

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
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,348.96
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1,778.28
Median
$2,089.30
Typical High
$2,344.23
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$2,238.72
Providence
Setting
Facility
Modifier
None
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$1,698.24
Typical High
$1,995.26
United
Setting
Facility
Modifier
None
Typical Low
$602.56
Median
$954.99
Typical High
$1,862.09
United
Setting
Professional
Modifier
None
Typical Low
$1,862.09
Median
$2,089.30
Typical High
$2,951.21

Where Montana sits

The same service costs 14.2 times more in Maine than in Maryland. 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.

Physician feeFacility fee

Montana· 21st of 51

$4,085

$1,995 physician + $2,089 facility

ME $28,040MD $1,975

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.