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Maine 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?

$263,027

Typical facility fee. In Maine, July 2026.

Insurers have agreed to pay about $263,027 for this service. Most negotiated rates run $213,796 to $275,423.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $263,027 · 10th to 90th $177,828 to $323,594
$100K$200Kfacility $263,027

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
$109,647.82
Median
$275,422.87
Typical High
$323,593.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$181,970.09
Median
$213,796.21
Typical High
$416,869.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$186,208.71
Median
$186,208.71
Typical High
$186,208.71
United
Setting
Facility
Modifier
Global
Typical Low
$177,827.94
Median
$177,827.94
Typical High
$177,827.94

Where Maine 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.

Maine· 12th of 51

$263,027

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.