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Pleural Effusion with Major Complications

Massachusetts rates for MS-DRG 186

Pleural Effusion with MCC

Rates data updated October 2026.

How much does Pleural Effusion with Major Complications cost?

$22,387

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $7,413 to $28,840.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $22,387 · 10th to 90th $224 to $41,687
$200$1K$5K$20Kfacility $22,387

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$25,703.96
Typical High
$33,113.11
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$22,387.21
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,803.84
Median
$23,442.29
Typical High
$34,673.69
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$204.17
Median
$218.78
Typical High
$245.47
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$22,908.68
Typical High
$61,659.50
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$5,495.41
Median
$22,387.21
Typical High
$61,659.50
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$22,387.21
Typical High
$52,480.75

Where Massachusetts sits

The same service costs 295.1 times more in Montana than in Hawaii. 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.

Massachusetts· 29th of 51

$22,387

MT $81,283HI $275

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.