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Appendix Procedures with Major Complications

Texas rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated October 2026.

How much does Appendix Procedures with Major Complications cost?

$31,623

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $25,704 to $48,978.

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 $31,623 · 10th to 90th $18,621 to $64,565
$10K$20K$50K$100Kfacility $31,623

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
$20,417.38
Median
$41,686.94
Typical High
$56,234.13
Ambetter
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$33,113.11
Typical High
$33,113.11
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$29,512.09
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$37,153.52
Typical High
$75,857.76
Moda Health
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$56,234.13
Typical High
$56,234.13
Providence
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$40,738.03
Typical High
$102,329.30
United
Setting
Facility
Modifier
None
Typical Low
$9,332.54
Median
$29,512.09
Typical High
$66,069.34

Where Texas 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.

Texas· 35th of 51

$31,623

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.