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Other Digestive System Diagnoses with Complications

Texas rates for MS-DRG 394

Other Digestive System Diagnoses with CC

Rates data updated July 2026.

How much does Other Digestive System Diagnoses with Complications cost?

$12,023

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $12,023 for this service. Most negotiated rates run $8,511 to $15,849.

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 $12,023 · 10th to 90th $5,754 to $21,878
$5K$10K$20Kfacility $12,023

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
$8,912.51
Median
$13,489.63
Typical High
$25,703.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,786.30
Median
$9,549.93
Typical High
$16,595.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$14,125.38
Typical High
$26,302.68
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$33,884.42
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,302.69
Typical High
$28,183.83
United
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$10,232.93
Typical High
$23,442.29

Where Texas sits

The same service costs 6.5 times more in Montana than in New Mexico. 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· 35th of 51

$12,023

MT $48,978NM $7,586

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.