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Concussion with Major Complications

Washington rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$30,903

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $30,903 for this service. Most negotiated rates run $24,547 to $37,154.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $30,903 · 10th to 90th $19,055 to $45,709
$10K$20K$50Kfacility $30,903

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
$22,387.21
Median
$34,673.69
Typical High
$56,234.13
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$30,199.52
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$28,840.32
Typical High
$44,668.36
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$24,547.09
Typical High
$60,255.96
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$26,915.35
Typical High
$40,738.03
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$30,199.52
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$12,022.64
Median
$26,915.35
Typical High
$38,904.51

Where Washington 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.

Washington· 8th of 51

$30,903

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.