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Texas rates for MS-DRG 405

Pancreas, liver & shunt procedures w MCC

Facilitymedian $70,795 · 10th–90th $33,113–$128,8250%10%10th90th$70,795$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$52,480.75 / $79,432.82 / $128,824.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $56,234.13 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $75,857.76 / $151,356.12
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194,984.46 / $194,984.46 / $194,984.46
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $74,131.02 / $128,824.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $66,069.34 / $165,958.69
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $52,480.75 / $125,892.54