go back

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 October 2026.

How much does MS-DRG 004 cost?

$363,078

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $363,078 for this service. Most negotiated rates run $257,040 to $478,630.

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 $363,078 · 10th to 90th $169,824 to $588,844
$5K$20K$100K$500Kfacility $363,078

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$134,896.29
Median
$301,995.17
Typical High
$537,031.80
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$263,026.80
Median
$407,380.28
Typical High
$630,957.34
Cigna
Setting
Facility
Modifier
None
Typical Low
$204,173.79
Median
$416,869.38
Typical High
$645,654.23
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$204,173.79
Median
$371,535.23
Typical High
$691,830.97
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$234,422.88
Median
$234,422.88
Typical High
$363,078.05
United
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$269,153.48
Typical High
$457,088.19

Where New York sits

The same service costs 1380.4 times more in Alaska than in Hawaii. 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· 2nd of 51

$363,078

AK $380,189HI $275

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.