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Malignant Breast Disorders with Major Complications

Washington rates for MS-DRG 597

Malignant Breast Disorders with MCC

Rates data updated October 2026.

How much does Malignant Breast Disorders with Major Complications cost?

$37,154

Typical facility fee. In Washington, October 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $30,200 to $43,652.

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 $37,154 · 10th to 90th $22,387 to $52,481
$10K$20K$50Kfacility $37,154

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$38,018.94
Typical High
$66,069.34
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$19,498.45
Median
$35,481.34
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$26,302.68
Median
$33,113.11
Typical High
$53,703.18
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$30,902.95
Premera BCBS
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$36,307.81
Typical High
$52,480.75
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$35,481.34
Typical High
$50,118.72
United
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$39,810.72
Typical High
$52,480.75

Where Washington sits

The same service costs 166.0 times more in Alaska than in Hawaii. 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.

Washington· 8th of 51

$37,154

AK $45,709HI $275

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.