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Malignant Breast Disorders with Major Complications

Texas 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?

$20,893

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $20,893 for this service. Most negotiated rates run $15,136 to $28,184.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $20,893 · 10th to 90th $10,233 to $38,905
$10K$20K$50Kfacility $20,893

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
$15,848.93
Median
$23,988.33
Typical High
$38,904.51
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$17,378.01
Typical High
$30,199.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$25,118.86
Typical High
$45,708.82
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$60,255.96
Typical High
$60,255.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$21,877.62
Typical High
$50,118.72
United
Setting
Facility
Modifier
Global
Typical Low
$9,120.11
Median
$17,378.01
Typical High
$41,686.94

Where Texas sits

The same service costs 5.4 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Texas· 33rd of 51

$20,893

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.