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Other Digestive System Diagnoses without Complications

Massachusetts rates for MS-DRG 395

Other Digestive System Diagnoses without CC/MCC

Rates data updated July 2026.

How much does Other Digestive System Diagnoses without Complications cost?

$10,000

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $10,000 for this service. Most negotiated rates run $6,607 to $13,804.

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 $10,000 · 10th to 90th $5,888 to $16,982
$100.0$500.0$2.0K$10.0Kfacility $10,000

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
$6,025.60
Median
$10,715.19
Typical High
$16,982.44
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$9,332.54
Typical High
$24,547.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$9,772.37
Typical High
$14,454.40
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$81.28
Median
$91.20
Typical High
$14,125.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$9,332.54
Typical High
$24,547.09
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$9,332.54
Typical High
$24,547.09
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$7,762.47
Typical High
$19,498.45

Where Massachusetts sits

The same service costs 9.3 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $10,000 · 29th of 51
MT $48,978NM $5,248

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.