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Heart Transplant or Heart Assist Implant (with MCC)

New York rates for MS-DRG 001

Heart Transplant or Implant of Heart Assist System with MCC

Rates data updated July 2026.

How much does Heart Transplant or Heart Assist Implant (with MCC) cost?

$724,436

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $724,436 for this service. Most negotiated rates run $467,735 to $933,254.

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 $724,436 · 10th to 90th $281,838 to $1,096,478
$10K$20K$50K$100K$200K$500K$1Mfacility $724,436

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
$229,086.77
Median
$575,439.94
Typical High
$1,096,478.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$549,540.87
Median
$933,254.30
Typical High
$1,230,268.77
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$309,029.54
Median
$676,082.98
Typical High
$1,412,537.54
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$288,403.15
Median
$288,403.15
Typical High
$288,403.15
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$524,807.46
Median
$524,807.46
Typical High
$676,082.98
United
Setting
Facility
Modifier
Global
Typical Low
$10,000.00
Median
$549,540.87
Typical High
$870,963.59

Where New York sits

The same service costs 33.9 times more in New York 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.

New York· 1st of 51

$724,436

NY $724,436MI $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.