go back

Other Digestive System Operating Room Procedures (with MCC)

Kentucky 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?

$56,234

Typical facility fee. In Kentucky, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $42,658 to $63,096.

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 $56,234 · 10th to 90th $34,674 to $75,858
$50K$100Kfacility $56,234

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
$41,686.94
Median
$64,565.42
Typical High
$104,712.85
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$56,234.13
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$60,255.96
Typical High
$114,815.36
United
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$56,234.13
Typical High
$75,857.76

Where Kentucky 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.

Kentucky· 32nd of 51

$56,234

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.