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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 w MCC

Rates data updated June 2026.

Facilitymedian $691,831 · 10th–90th $269,153$1,096,4780%10%20%10th90th$691,831$2.0K$10.0K$50.0K$200.0K$1.0M

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$223,872.11
Median
$588,843.66
Typical High
$1,096,478.20
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$562,341.33
Median
$912,010.84
Typical High
$1,230,268.77
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$354,813.39
Median
$691,830.97
Typical High
$1,737,800.83
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$288,403.15
Median
$288,403.15
Typical High
$288,403.15
United
Setting
Facility
Modifier
Global
Typical Low
$9,332.54
Median
$549,540.87
Typical High
$870,963.59