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Complicated Peptic Ulcer with Complications

Wisconsin rates for MS-DRG 381

Complicated Peptic Ulcer with CC

Rates data updated October 2026.

How much does Complicated Peptic Ulcer with Complications cost?

$18,621

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $18,621 for this service. Most negotiated rates run $15,488 to $22,909.

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 $18,621 · 10th to 90th $10,965 to $26,915
$200$500$1K$2K$5K$10K$20Kfacility $18,621

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$16,218.10
Typical High
$19,498.45
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$19,498.45
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$18,620.87
Typical High
$28,183.83
DeanCare
Setting
Facility
Modifier
None
Typical Low
$14,125.38
Median
$16,218.10
Typical High
$20,417.38
Medica
Setting
Facility
Modifier
None
Typical Low
$15,135.61
Median
$19,498.45
Typical High
$26,915.35
Quartz
Setting
Facility
Modifier
None
Typical Low
$218.78
Median
$12,589.25
Typical High
$21,379.62
Security Health
Setting
Facility
Modifier
None
Typical Low
$17,782.79
Median
$19,952.62
Typical High
$22,908.68
United
Setting
Facility
Modifier
None
Typical Low
$12,302.69
Median
$20,892.96
Typical High
$25,703.96

Where Wisconsin sits

The same service costs 295.1 times more in Montana than in Hawaii. 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· 17th of 51

$18,621

MT $81,283HI $275

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.