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Pleural Effusion with Major Complications

Texas rates for MS-DRG 186

Pleural Effusion with MCC

Rates data updated October 2026.

How much does Pleural Effusion with Major Complications cost?

$19,055

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $14,454 to $28,184.

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 $19,055 · 10th to 90th $9,772 to $38,019
$10K$20K$50K$100Kfacility $19,055

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$27,542.29
Typical High
$36,307.81
Ambetter
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$24,547.09
Typical High
$25,118.86
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$8,912.51
Median
$17,782.79
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$24,547.09
Typical High
$48,977.88
Moda Health
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$36,307.81
Typical High
$37,153.52
Providence
Setting
Facility
Modifier
None
Typical Low
$14,454.40
Median
$26,915.35
Typical High
$67,608.30
United
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$19,498.45
Typical High
$42,657.95

Where Texas sits

The same service costs 154.9 times more in Alaska 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.

Texas· 40th of 51

$19,055

AK $42,658HI $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.