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Other Digestive System Operating Room Procedures (with MCC)

Massachusetts 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?

$69,183

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $41,687 to $93,325.

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 $69,183 · 10th to 90th $33,113 to $114,815
$1K$2K$5K$10K$20K$50K$100Kfacility $69,183

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
$72,443.60
Typical High
$114,815.36
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$63,095.73
Typical High
$165,958.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$66,069.34
Typical High
$97,723.72
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$549.54
Median
$630.96
Typical High
$95,499.26
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$63,095.73
Typical High
$165,958.69
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$63,095.73
Typical High
$165,958.69
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$51,286.14
Typical High
$131,825.67

Where Massachusetts 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.

Massachusetts· 23rd of 51

$69,183

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.