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Appendix Procedures with Major Complications

New Mexico rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$19,055

Typical facility fee. In New Mexico, July 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $12,303 to $30,903.

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 $19,055 · 10th to 90th $10,000 to $40,738
$5.0K$10.0K$20.0K$50.0Kfacility $19,055

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
$12,022.64
Median
$19,952.62
Typical High
$54,954.09
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$18,197.01
Typical High
$38,904.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$20,892.96
Typical High
$38,904.51
Providence
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$20,892.96
Typical High
$38,904.51
United
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$29,512.09
Typical High
$42,657.95

Where New Mexico 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.

New Mexico $19,055 · 51st 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.