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Appendix Procedures with Major Complications

Oregon rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$60,256

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $43,652 to $69,183.

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 $60,256 · 10th to 90th $33,113 to $87,096
$200.0$1.0K$5.0K$20.0K$100.0Kfacility $60,256

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
$64,565.42
Median
$66,069.34
Typical High
$131,825.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$57,543.99
Typical High
$91,201.08
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$48,977.88
Typical High
$75,857.76
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$39,810.72
Typical High
$43,651.58
Providence
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$53,703.18
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$53,703.18
Typical High
$64,565.42

Where Oregon 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.

Oregon $60,256 · 2nd 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.