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Other Digestive System Diagnoses without Complications

New Mexico 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?

$5,248

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $5,248 for this service. Most negotiated rates run $3,548 to $8,318.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,248 · 10th to 90th $2,754 to $11,220
$2K$5K$10Kfacility $5,248

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
$3,235.94
Median
$5,370.32
Typical High
$15,135.61
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,897.79
Typical High
$10,715.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$10,471.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$5,623.41
Typical High
$10,471.29
United
Setting
Facility
Modifier
Global
Typical Low
$4,466.84
Median
$7,413.10
Typical High
$10,471.29

Where New Mexico sits

The same service costs 9.3 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.

New Mexico· 51st of 51

$5,248

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.