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Splenic Procedures with Major Complications

Texas rates for MS-DRG 799

Splenic Procedures with MCC

Rates data updated July 2026.

How much does Splenic Procedures with Major Complications cost?

$60,256

Typical facility fee. In Texas, July 2026.

Insurers have agreed to pay about $60,256 for this service. Most negotiated rates run $41,687 to $83,176.

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 $60,256 · 10th to 90th $30,903 to $107,152
$20K$50K$100Kfacility $60,256

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
$43,651.58
Median
$64,565.42
Typical High
$120,226.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$51,286.14
Typical High
$91,201.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$72,443.60
Typical High
$125,892.54
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$162,181.01
Median
$162,181.01
Typical High
$162,181.01
Providence
Setting
Facility
Modifier
Global
Typical Low
$40,738.03
Median
$57,543.99
Typical High
$134,896.29
United
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$43,651.58
Typical High
$104,712.85

Where Texas 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.

Texas· 32nd of 51

$60,256

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.