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Appendix Procedures with Major Complications

New Jersey rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated October 2026.

How much does Appendix Procedures with Major Complications cost?

$50,119

Typical facility fee. In New Jersey, October 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $32,359 to $64,565.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $19,055 to $75,858
$10K$20K$50K$100Kfacility $50,119

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$48,977.88
Typical High
$69,183.10
Cigna
Setting
Facility
Modifier
None
Typical Low
$31,622.78
Median
$58,884.37
Typical High
$83,176.38
Horizon BCBS
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$57,543.99
Typical High
$77,624.71
United
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$19,054.61
Typical High
$66,069.34

Where New Jersey 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.

New Jersey· 10th of 51

$50,119

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.