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Splenic Procedures with Major Complications

Maine rates for MS-DRG 799

Splenic Procedures with MCC

Rates data updated July 2026.

How much does Splenic Procedures with Major Complications cost?

$85,114

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $85,114 for this service. Most negotiated rates run $69,183 to $89,125.

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 $85,114 · 10th to 90th $58,884 to $104,713
$50K$100Kfacility $85,114

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
$47,863.01
Median
$89,125.09
Typical High
$104,712.85
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$69,183.10
Typical High
$134,896.29
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
United
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$58,884.37
Typical High
$58,884.37

Where Maine sits

The same service costs 5.5 times more in Alaska than in Michigan. 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· 13th of 51

$85,114

AK $117,490MI $21,380

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.