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Concussion with Major Complications

Wisconsin rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$24,547

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $19,055 to $30,200.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24,547 · 10th to 90th $13,804 to $36,308
$500$1K$2K$5K$10K$20K$50Kfacility $24,547

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
$20,417.38
Median
$23,988.33
Typical High
$25,118.86
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$25,703.96
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$21,379.62
Typical High
$38,018.94
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$20,417.38
Typical High
$25,703.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$23,988.33
Typical High
$38,904.51
Quartz
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$15,488.17
Typical High
$19,952.62
Security Health
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$27,542.29
Typical High
$28,840.32
United
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$25,118.86
Typical High
$31,622.78

Where Wisconsin 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.

Wisconsin· 15th of 51

$24,547

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.