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Other Digestive System Diagnoses without Complications

North Carolina 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?

$9,550

Typical facility fee. In North Carolina, October 2026.

Insurers have agreed to pay about $9,550 for this service. Most negotiated rates run $7,244 to $12,589.

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 $9,550 · 10th to 90th $5,888 to $14,125
$2K$5K$10K$20Kfacility $9,550

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
$5,888.44
Median
$7,413.10
Typical High
$12,882.50
Ambetter
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$5,754.40
Typical High
$10,964.78
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$7,943.28
Typical High
$12,882.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$10,232.93
Typical High
$14,454.40
Medcost
Setting
Facility
Modifier
None
Typical Low
$4,786.30
Median
$6,309.57
Typical High
$8,709.64
United
Setting
Facility
Modifier
None
Typical Low
$6,918.31
Median
$10,964.78
Typical High
$14,125.38

Where North Carolina 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.

North Carolina· 32nd of 51

$9,550

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.