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Appendix Procedures with Major Complications

Massachusetts rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated October 2026.

How much does Appendix Procedures with Major Complications cost?

$34,674

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $34,674 for this service. Most negotiated rates run $18,197 to $50,119.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 $34,674 · 10th to 90th $339 to $63,096
$500$2K$10K$50Kfacility $34,674

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$39,810.72
Typical High
$51,286.14
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$35,481.34
Typical High
$93,325.43
Cigna
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$35,481.34
Typical High
$53,703.18
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$309.03
Median
$338.84
Typical High
$371.54
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$35,481.34
Typical High
$93,325.43
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$35,481.34
Typical High
$93,325.43
United
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$34,673.69
Typical High
$79,432.82

Where Massachusetts sits

The same service costs 234.4 times more in Alaska 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.

Massachusetts· 32nd of 51

$34,674

AK $64,565HI $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.