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Other Digestive System Diagnoses without Complications

Illinois rates for MS-DRG 395

Other Digestive System Diagnoses without CC/MCC

Rates data updated October 2026.

How much does Other Digestive System Diagnoses without Complications cost?

$7,413

Typical facility fee. In Illinois, October 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $5,888 to $9,333.

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 $7,413 · 10th to 90th $151 to $12,023
$100$200$500$1K$2K$5K$10Kfacility $7,413

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
$6,165.95
Median
$7,943.28
Typical High
$11,481.54
Ambetter
Setting
Facility
Modifier
None
Typical Low
$6,760.83
Median
$6,760.83
Typical High
$6,760.83
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$5,128.61
Median
$7,762.47
Typical High
$13,182.57
Cigna
Setting
Facility
Modifier
None
Typical Low
$4,677.35
Median
$7,244.36
Typical High
$11,748.98
Hally Health
Setting
Facility
Modifier
None
Typical Low
$57.54
Median
$87.10
Typical High
$134.90
United
Setting
Facility
Modifier
None
Typical Low
$6,456.54
Median
$8,709.64
Typical High
$13,182.57

Where Illinois sits

The same service costs 74.1 times more in Michigan 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.

Illinois· 43rd of 51

$7,413

MI $20,417HI $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.