go back

Appendix Procedures with Major Complications

California rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$58,884

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $58,884 for this service. Most negotiated rates run $40,738 to $67,608.

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 $58,884 · 10th to 90th $12,589 to $81,283
$100.0$1.0K$10.0K$100.0Kfacility $58,884

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
$43,651.58
Median
$61,659.50
Typical High
$79,432.82
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$45,708.82
Typical High
$81,283.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$60,255.96
Typical High
$85,113.80
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$63,095.73
Typical High
$85,113.80
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$44,668.36
Typical High
$93,325.43

Where California sits

The same service costs 3.2 times more in Vermont than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $58,884 · 4th of 51
VT $61,660NM $19,055

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.