go back

Benign Prostatic Hypertrophy with Major Complications

Texas 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?

$15,136

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $10,965 to $20,417.

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 $15,136 · 10th to 90th $7,762 to $27,542
$5K$10K$20Kfacility $15,136

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
$11,220.18
Median
$16,982.44
Typical High
$27,542.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,882.50
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$17,782.79
Typical High
$31,622.78
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$41,686.94
Median
$41,686.94
Typical High
$41,686.94
Providence
Setting
Facility
Modifier
Global
Typical Low
$10,471.29
Median
$15,135.61
Typical High
$35,481.34
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$12,589.25
Typical High
$29,512.09

Where Texas 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.

Texas· 34th of 51

$15,136

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.