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Other Digestive System Diagnoses without Complications

Washington 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?

$14,454

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $14,454 for this service. Most negotiated rates run $11,482 to $17,378.

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 $14,454 · 10th to 90th $8,511 to $21,380
$5.0K$10.0K$20.0Kfacility $14,454

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
$10,964.78
Median
$16,595.87
Typical High
$26,915.35
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$7,585.78
Median
$13,182.57
Typical High
$18,620.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$14,125.38
Typical High
$21,379.62
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$9,549.93
Typical High
$13,182.57
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$12,022.64
Typical High
$18,197.01
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$13,182.57
Typical High
$17,782.79
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$12,882.50
Typical High
$18,620.87

Where Washington 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.

Washington $14,454 · 11th 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.