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Concussion with Major Complications

Illinois rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$15,488

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $15,488 for this service. Most negotiated rates run $12,882 to $18,621.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,488 · 10th to 90th $309 to $22,909
$200$500$1K$2K$5K$10K$20Kfacility $15,488

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
$13,489.63
Median
$17,378.01
Typical High
$22,908.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$15,488.17
Typical High
$22,908.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$15,135.61
Typical High
$26,915.35
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$169.82
Typical High
$257.04
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$16,595.87
Typical High
$23,988.33

Where Illinois sits

The same service costs 6.6 times more in Montana than in New Mexico. 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.

Illinois· 42nd of 51

$15,488

MT $72,444NM $10,965

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.