go back

Benign Prostatic Hypertrophy with Major Complications

Maine 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?

$21,878

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $21,878 for this service. Most negotiated rates run $18,197 to $23,442.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $21,878 · 10th to 90th $15,136 to $27,542
$10K$20Kfacility $21,878

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,454.40
Median
$23,442.29
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$18,197.01
Typical High
$35,481.34
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
United
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$15,135.61
Typical High
$15,135.61

Where Maine 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.

Maine· 14th of 51

$21,878

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.