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Other Digestive System Operating Room Procedures (with MCC)

Wisconsin 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?

$79,433

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $79,433 for this service. Most negotiated rates run $61,660 to $97,724.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $79,433 · 10th to 90th $44,668 to $117,490
$1K$2K$5K$10K$20K$50K$100Kfacility $79,433

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
$66,069.34
Median
$77,624.71
Typical High
$81,283.05
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$83,176.38
Typical High
$120,226.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$123,026.88
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$66,069.34
Typical High
$83,176.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$77,624.71
Typical High
$125,892.54
Quartz
Setting
Facility
Modifier
Global
Typical Low
$724.44
Median
$50,118.72
Typical High
$66,069.34
Security Health
Setting
Facility
Modifier
Global
Typical Low
$72,443.60
Median
$91,201.08
Typical High
$93,325.43
United
Setting
Facility
Modifier
Global
Typical Low
$47,863.01
Median
$83,176.38
Typical High
$102,329.30

Where Wisconsin 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.

Wisconsin· 13th of 51

$79,433

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.