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Other Digestive System Operating Room Procedures (with MCC)

Texas 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?

$54,954

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $54,954 for this service. Most negotiated rates run $38,019 to $74,131.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54,954 · 10th to 90th $25,704 to $104,713
$20K$50K$100Kfacility $54,954

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
$63,095.73
Typical High
$120,226.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$43,651.58
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$69,183.10
Typical High
$123,026.88
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
$38,904.51
Median
$56,234.13
Typical High
$131,825.67
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$41,686.94
Typical High
$100,000.00

Where Texas 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.

Texas· 33rd of 51

$54,954

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.