go back

Appendix Procedures with Major Complications

Wisconsin rates for MS-DRG 397

Appendix Procedures with MCC

Rates data updated July 2026.

How much does Appendix Procedures with Major Complications cost?

$35,481

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $26,915 to $44,668.

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 $35,481 · 10th to 90th $16,982 to $54,954
$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0Kfacility $35,481

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
$36,307.81
Median
$42,657.95
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$38,018.94
Typical High
$67,608.30
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$36,307.81
Typical High
$45,708.82
Medica
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$42,657.95
Typical High
$69,183.10
Quartz
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$26,915.35
Typical High
$35,481.34
Security Health
Setting
Facility
Modifier
Global
Typical Low
$39,810.72
Median
$48,977.88
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$44,668.36
Typical High
$56,234.13

Where Wisconsin 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.

Wisconsin $35,481 · 30th 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.