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Texas rates for MS-DRG 397

Appendix procedures w MCC

Facilitymedian $33,884 · 10th–90th $20,417–$56,2340%10%20%10th90th$33,884$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $34,673.69 / $56,234.13
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $28,183.83 / $46,773.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $38,018.94 / $67,608.30
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,182.57 / $30,902.95 / $56,234.13
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $30,199.52 / $72,443.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,332.54 / $29,512.09 / $66,069.34