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South Carolina 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?

$309,030

Typical facility fee. In South Carolina, July 2026.

Insurers have agreed to pay about $309,030 for this service. Most negotiated rates run $223,872 to $436,516.

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 $309,030 · 10th to 90th $138,038 to $630,957
$10K$20K$50K$100K$200K$500Kfacility $309,030

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
$218,776.16
Median
$331,131.12
Typical High
$630,957.34
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120,226.44
Median
$257,039.58
Typical High
$794,328.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$245,470.89
Typical High
$363,078.05
United
Setting
Facility
Modifier
Global
Typical Low
$104,712.85
Median
$323,593.66
Typical High
$549,540.87

Where South Carolina 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.

South Carolina· 7th of 51

$309,030

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.