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Appendix Procedures with Major Complications

Ohio rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$37,154

Typical facility fee. In Ohio, July 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $31,623 to $44,668.

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 $37,154 · 10th to 90th $24,547 to $50,119
$5.0K$10.0K$20.0K$50.0Kfacility $37,154

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
$28,183.83
Median
$38,018.94
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$38,018.94
Typical High
$54,954.09
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$31,622.78
Typical High
$56,234.13
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$19,054.61
Typical High
$46,773.51
United
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$34,673.69
Typical High
$53,703.18

Where Ohio 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.

Ohio $37,154 · 26th 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.