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Concussion with Major Complications

Virginia rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$22,909

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $22,909 for this service. Most negotiated rates run $18,621 to $26,915.

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 $22,909 · 10th to 90th $15,136 to $30,200
$10K$20Kfacility $22,909

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
$19,054.61
Median
$23,442.29
Typical High
$26,915.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$25,118.86
Typical High
$33,884.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,125.38
Median
$21,877.62
Typical High
$32,359.37
Sentara
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$20,892.96
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$19,054.61
Typical High
$37,153.52

Where Virginia 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.

Virginia· 19th of 51

$22,909

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.