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New York 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?

$380,189

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $380,189 for this service. Most negotiated rates run $239,883 to $489,779.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $380,189 · 10th to 90th $147,911 to $588,844
$100K$200K$500Kfacility $380,189

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
$117,489.76
Median
$309,029.54
Typical High
$537,031.80
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$281,838.29
Median
$446,683.59
Typical High
$724,435.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$245,470.89
Median
$426,579.52
Typical High
$645,654.23
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$147,910.84
Median
$338,844.16
Typical High
$691,830.97
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$234,422.88
Median
$234,422.88
Typical High
$363,078.05
United
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$275,422.87
Typical High
$457,088.19

Where New York 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 York· 1st of 51

$380,189

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.