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Massachusetts 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?

$213,796

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $213,796 for this service. Most negotiated rates run $128,825 to $295,121.

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 $213,796 · 10th to 90th $104,713 to $363,078
$2K$10K$50K$200Kfacility $213,796

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
$128,824.96
Median
$229,086.77
Typical High
$363,078.05
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$199,526.23
Typical High
$524,807.46
Cigna
Setting
Facility
Modifier
Global
Typical Low
$123,026.88
Median
$204,173.79
Typical High
$309,029.54
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,949.84
Typical High
$301,995.17
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$199,526.23
Typical High
$524,807.46
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$199,526.23
Typical High
$524,807.46
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$162,181.01
Typical High
$416,869.38

Where Massachusetts 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.

Massachusetts· 24th of 51

$213,796

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.