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Other Digestive System Operating Room Procedures (with MCC)

Virginia 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?

$67,608

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $45,709 to $83,176.

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 $67,608 · 10th to 90th $24,547 to $97,724
$10K$20K$50K$100Kfacility $67,608

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
$75,857.76
Typical High
$89,125.09
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$81,283.05
Typical High
$114,815.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34,673.69
Median
$69,183.10
Typical High
$104,712.85
Sentara
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$57,543.99
Typical High
$89,125.09
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$56,234.13
Typical High
$120,226.44

Where Virginia 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.

Virginia· 24th of 51

$67,608

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.