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Appendix Procedures with Major Complications

Washington rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated October 2026.

How much does Appendix Procedures with Major Complications cost?

$53,703

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $53,703 for this service. Most negotiated rates run $43,652 to $64,565.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $53,703 · 10th to 90th $34,674 to $77,625
$20K$50K$100Kfacility $53,703

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
$31,622.78
Median
$54,954.09
Typical High
$95,499.26
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$51,286.14
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$46,773.51
Typical High
$77,624.71
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$32,359.37
Median
$52,480.75
Typical High
$77,624.71
United
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$57,543.99
Typical High
$79,432.82

Where Washington 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.

Washington· 8th of 51

$53,703

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.