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Washington, DC rates for MS-DRG 004

Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures

Rates data updated July 2026.

How much does MS-DRG 004 cost?

$331,131

Typical facility fee. In Washington, DC, July 2026.

Insurers have agreed to pay about $331,131 for this service. Most negotiated rates run $275,423 to $457,088.

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 $331,131 · 10th to 90th $239,883 to $457,088
$100K$200K$500Kfacility $331,131

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
$275,422.87
Median
$331,131.12
Typical High
$457,088.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$229,086.77
Median
$301,995.17
Typical High
$562,341.33
United
Setting
Facility
Modifier
Global
Typical Low
$97,723.72
Median
$275,422.87
Typical High
$537,031.80

Where Washington, DC sits

The same service costs 17.8 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.

Washington, DC· 6th of 51

$331,131

NY $380,189MI $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.