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Operating Room Procedure with Mental Illness Diagnosis

Maine rates for MS-DRG 876

O.R. Procedures with Principal Diagnosis of Mental Illness

Rates data updated July 2026.

How much does Operating Room Procedure with Mental Illness Diagnosis cost?

$77,625

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $77,625 for this service. Most negotiated rates run $61,660 to $77,625.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $77,625 · 10th to 90th $30,200 to $89,125
$20K$50K$100Kfacility $77,625

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
$30,199.52
Median
$77,624.71
Typical High
$89,125.09
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$51,286.14
Typical High
$51,286.14
United
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$50,118.72
Typical High
$50,118.72

Where Maine sits

The same service costs 4.7 times more in Vermont 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· 10th of 51

$77,625

VT $100,000MI $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.