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Malignant Breast Disorders with Major Complications

Massachusetts rates for MS-DRG 597

Malignant Breast Disorders with MCC

Rates data updated July 2026.

How much does Malignant Breast Disorders with Major Complications cost?

$25,704

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $15,488 to $35,481.

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 $25,704 · 10th to 90th $11,482 to $43,652
$200.0$1.0K$5.0K$20.0Kfacility $25,704

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
$15,488.17
Median
$27,542.29
Typical High
$43,651.58
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$23,988.33
Typical High
$63,095.73
Cigna
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$25,118.86
Typical High
$37,153.52
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$234.42
Typical High
$36,307.81
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$23,442.29
Typical High
$63,095.73
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$23,988.33
Typical High
$63,095.73
United
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$20,892.96
Typical High
$50,118.72

Where Massachusetts sits

The same service costs 5.4 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Massachusetts $25,704 · 27th of 51
MT $72,444NM $13,490

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.