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Texas rates for MS-DRG 409

Biliary tract proc except only cholecyst w or w/o c.d.e. w CC

Facilitymedian $28,184 · 10th–90th $13,183–$51,2860%10%10th90th$28,184$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
$20,892.96 / $31,622.78 / $51,286.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $21,877.62 / $37,153.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $34,673.69 / $61,659.50
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77,624.71 / $77,624.71 / $77,624.71
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $29,512.09 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $27,542.29 / $66,069.34
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $21,877.62 / $50,118.72