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Hepatobiliary Diagnostic Procedures with Major Complications

Maine rates for MS-DRG 420

Hepatobiliary Diagnostic Procedures with MCC

Rates data updated July 2026.

How much does Hepatobiliary Diagnostic Procedures with Major Complications cost?

$64,565

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $64,565 for this service. Most negotiated rates run $52,481 to $67,608.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $64,565 · 10th to 90th $43,652 to $79,433
$50.0K$100.0Kfacility $64,565

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$67,608.30
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$44,668.36
Median
$52,480.75
Typical High
$102,329.30
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$54,954.09
Typical High
$54,954.09
United
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$43,651.58
Typical High
$43,651.58

Where Maine sits

The same service costs 4.2 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $64,565 · 12th of 51
NY $89,125MI $21,380

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.