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Interstitial Lung Disease with Major Complications

Maine rates for MS-DRG 196

Interstitial Lung Disease with MCC

Rates data updated July 2026.

How much does Interstitial Lung Disease with Major Complications cost?

$35,481

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $28,840 to $37,154.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $35,481 · 10th to 90th $24,547 to $43,652
$20K$50Kfacility $35,481

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$37,153.52
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$28,840.32
Typical High
$56,234.13
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$26,915.35
Typical High
$26,915.35
United
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$24,547.09
Typical High
$24,547.09

Where Maine sits

The same service costs 4.8 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.

Maine· 12th of 51

$35,481

MT $72,444NM $15,136

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.