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Other Digestive System Diagnoses without Complications

Virginia 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?

$11,749

Typical facility fee. In Virginia, July 2026.

Insurers have agreed to pay about $11,749 for this service. Most negotiated rates run $10,000 to $14,454.

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 $11,749 · 10th to 90th $7,943 to $18,197
$5K$10K$20Kfacility $11,749

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
$9,120.11
Median
$11,220.18
Typical High
$12,882.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$12,022.64
Typical High
$16,218.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6,760.83
Median
$11,481.54
Typical High
$16,218.10
Sentara
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,022.64
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$9,120.11
Typical High
$17,782.79

Where Virginia 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.

Virginia· 18th of 51

$11,749

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.