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Other Respiratory System Diagnoses with Major Complications

West Virginia rates for MS-DRG 205

Other Respiratory System Diagnoses with MCC

Rates data updated July 2026.

How much does Other Respiratory System Diagnoses with Major Complications cost?

$15,849

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $15,849 for this service. Most negotiated rates run $13,804 to $19,055.

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 $15,849 · 10th to 90th $13,183 to $27,542
$5K$10K$20Kfacility $15,849

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
Aetna
Setting
Facility
Modifier
Global
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$25,118.86
Typical High
$34,673.69
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$13,182.57
Median
$13,182.57
Typical High
$13,182.57
United
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$13,803.84
Typical High
$25,118.86

Where West Virginia sits

The same service costs 4.9 times more in Montana than in Mississippi. 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.

West Virginia· 48th of 51

$15,849

MT $72,444MS $14,791

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.