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Other Digestive System Operating Room Procedures (with MCC)

New York 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?

$114,815

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $114,815 for this service. Most negotiated rates run $75,858 to $144,544.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $114,815 · 10th to 90th $47,863 to $169,824
$20K$50K$100K$200Kfacility $114,815

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
$35,481.34
Median
$91,201.08
Typical High
$169,824.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$91,201.08
Median
$144,543.98
Typical High
$181,970.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$77,624.71
Median
$123,026.88
Typical High
$158,489.32
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$107,151.93
Typical High
$223,872.11
United
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$87,096.36
Typical High
$147,910.84

Where New York 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 York· 1st of 51

$114,815

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.