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Concussion with Major Complications

South Dakota rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$15,136

Typical facility fee. In South Dakota, July 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $14,454 to $15,136.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15,136 · 10th to 90th $10,000 to $21,878
$10K$20K$50Kfacility $15,136

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
$14,454.40
Median
$19,054.61
Typical High
$19,054.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$15,135.61
Typical High
$15,135.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$12,589.25
Typical High
$23,988.33
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$15,848.93
Typical High
$22,908.68

Where South Dakota 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.

South Dakota· 43rd of 51

$15,136

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.