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Viral Illness with Major Complications

Massachusetts rates for MS-DRG 865

Viral Illness with MCC

Rates data updated October 2026.

How much does Viral Illness with Major Complications cost?

$19,498

Typical facility fee. In Massachusetts, October 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $7,413 to $26,915.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $19,498 · 10th to 90th $219 to $38,905
$200$1K$5K$20Kfacility $19,498

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$11,220.18
Median
$24,547.09
Typical High
$31,622.78
AllWays Health Partners
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$19,054.61
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$13,182.57
Median
$22,387.21
Typical High
$33,113.11
Fallon Health
Setting
Facility
Modifier
None
Typical Low
$194.98
Median
$208.93
Typical High
$234.42
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$6,165.95
Median
$19,952.62
Typical High
$58,884.37
Mass General Brigham
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$19,054.61
Typical High
$58,884.37
United
Setting
Facility
Modifier
None
Typical Low
$3,890.45
Median
$19,498.45
Typical High
$50,118.72

Where Massachusetts sits

The same service costs 147.9 times more in Alaska than in Hawaii. 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.

Massachusetts· 34th of 51

$19,498

AK $40,738HI $275

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.