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Benign Prostatic Hypertrophy with Major Complications

Illinois rates for MS-DRG 725

Benign Prostatic Hypertrophy with MCC

Rates data updated July 2026.

How much does Benign Prostatic Hypertrophy with Major Complications cost?

$13,490

Typical facility fee. In Illinois, July 2026.

Insurers have agreed to pay about $13,490 for this service. Most negotiated rates run $11,220 to $16,218.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $13,490 · 10th to 90th $269 to $19,953
$100$500$2K$10Kfacility $13,490

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
$11,481.54
Median
$15,135.61
Typical High
$19,498.45
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$13,489.63
Typical High
$19,952.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$13,182.57
Typical High
$23,442.29
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$147.91
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$14,454.40
Typical High
$21,877.62

Where Illinois sits

The same service costs 7.8 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.

Illinois· 41st of 51

$13,490

MT $72,444NM $9,333

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.