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Appendix Procedures with Major Complications

Washington rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$57,544

Typical facility fee. In Washington, July 2026.

Insurers have agreed to pay about $57,544 for this service. Most negotiated rates run $44,668 to $66,069.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $57,544 · 10th to 90th $38,905 to $87,096
$5.0K$10.0K$20.0K$50.0K$100.0Kfacility $57,544

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
$39,810.72
Median
$61,659.50
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$37,153.52
Median
$51,286.14
Typical High
$79,432.82
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$41,686.94
Typical High
$43,651.58
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$48,977.88
Typical High
$70,794.58
United
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$53,703.18
Typical High
$75,857.76

Where Washington 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.

Washington $57,544 · 5th 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.