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Other Digestive System Operating Room Procedures (with MCC)

New Jersey 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?

$93,325

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $93,325 for this service. Most negotiated rates run $70,795 to $117,490.

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 $93,325 · 10th to 90th $45,709 to $141,254
$10K$20K$50K$100K$200Kfacility $93,325

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
$61,659.50
Median
$104,712.85
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$107,151.93
Typical High
$141,253.75
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$81,283.05
Typical High
$123,026.88
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$120,226.44

Where New Jersey 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.

New Jersey· 9th of 51

$93,325

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.