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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 October 2026.

How much does Other Digestive System Diagnoses with Complications cost?

$11,482

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $11,482 for this service. Most negotiated rates run $8,710 to $16,982.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $11,482 · 10th to 90th $5,888 to $22,909
$5K$10K$20K$50Kfacility $11,482

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
$8,709.64
Median
$16,218.10
Typical High
$21,877.62
Ambetter
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$16,218.10
Typical High
$19,498.45
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$10,964.78
Typical High
$18,197.01
Cigna
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$14,454.40
Typical High
$29,512.09
Moda Health
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$21,877.62
Typical High
$21,877.62
Providence
Setting
Facility
Modifier
None
Typical Low
$8,511.38
Median
$16,218.10
Typical High
$40,738.03
United
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$11,481.54
Typical High
$25,703.96

Where Texas sits

The same service costs 93.3 times more in Alaska 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.

Texas· 38th of 51

$11,482

AK $25,704HI $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.