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Appendix Procedures with Major Complications

Rhode Island rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$50,119

Typical facility fee. In Rhode Island, July 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $29,512 to $56,234.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $50,119 · 10th to 90th $9,772 to $83,176
$10.0K$20.0K$50.0Kfacility $50,119

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. 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
Global
Typical Low
$36,307.81
Median
$56,234.13
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$50,118.72
Typical High
$66,069.34
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$10,000.00
Typical High
$33,884.42

Where Rhode Island 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.

Rhode Island $50,119 · 13th 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.