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New Jersey 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?

$295,121

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $295,121 for this service. Most negotiated rates run $208,930 to $371,535.

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 $295,121 · 10th to 90th $138,038 to $446,684
$10K$20K$50K$100K$200K$500Kfacility $295,121

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
$208,929.61
Median
$331,131.12
Typical High
$446,683.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$162,181.01
Median
$338,844.16
Typical High
$446,683.59
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$138,038.43
Median
$229,086.77
Typical High
$371,535.23
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$21,379.62
Typical High
$380,189.40

Where New Jersey 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.

New Jersey· 10th of 51

$295,121

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.