How much does MS-DRG 523 cost?

$138,038

Typical facility fee. Nationwide, October 2026.

Insurers have agreed to pay about $138,038 for this service. Most negotiated rates run $102,329 to $165,959.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $138,038 · 10th to 90th $83,176 to $269,153

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Medcost Setting Facility Modifier None Typical Low $102,329.30 Median $165,958.69 Typical High $331,131.12	Facility	None	$102,329.30	$165,958.69	$331,131.12
Select Health Setting Facility Modifier None Typical Low $144,543.98 Median $144,543.98 Typical High $144,543.98	Facility	None	$144,543.98	$144,543.98	$144,543.98
SummaCare Setting Facility Modifier None Typical Low $54,954.09 Median $107,151.93 Typical High $269,153.48	Facility	None	$54,954.09	$107,151.93	$269,153.48

Nationwide rates for MS-DRG 523

How much does MS-DRG 523 cost?

How much rates vary

Rates by insurance carrier

See more rates by state