go back

Texas rates for MS-DRG 382

Complicated peptic ulcer w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $10,792.00 / $18,149.59
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,924.77 / $10,924.77 / $10,924.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,759.00 / $11,226.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,873.95 / $11,288.00 / $21,103.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,236.70 / $23,303.23 / $23,303.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,069.30 / $10,007.50 / $23,082.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,428.97 / $8,966.71 / $20,416.90