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Other Digestive System Operating Room Procedures (with MCC)

California rates for MS-DRG 356

Other Digestive System O.R. Procedures with MCC

Rates data updated July 2026.

How much does Other Digestive System Operating Room Procedures (with MCC) cost?

$107,152

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $107,152 for this service. Most negotiated rates run $66,069 to $147,911.

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 $107,152 · 10th to 90th $10,715 to $186,209
$1K$10K$100Kfacility $107,152

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
$67,608.30
Median
$102,329.30
Typical High
$186,208.71
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$109,647.82
Typical High
$186,208.71
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$28,840.32
Median
$67,608.30
Typical High
$158,489.32
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$89,125.09
Typical High
$158,489.32
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$158,489.32
Median
$158,489.32
Typical High
$158,489.32
Providence
Setting
Facility
Modifier
Global
Typical Low
$61,659.50
Median
$95,499.26
Typical High
$177,827.94
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$77,624.71
Typical High
$169,824.37

Where California sits

The same service costs 5.4 times more in New York than in Michigan. 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.

California· 2nd of 51

$107,152

NY $114,815MI $21,380

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.