go back

Vermont 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?

$194,984

Typical facility fee. In Vermont, July 2026.

Insurers have agreed to pay about $194,984 for this service. Most negotiated rates run $177,828 to $389,045.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $194,984 · 10th to 90th $158,489 to $389,045
$200K$500Kfacility $194,984

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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$177,827.94
Median
$354,813.39
Typical High
$389,045.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165,958.69
Median
$194,984.46
Typical High
$389,045.14
United
Setting
Facility
Modifier
Global
Typical Low
$158,489.32
Median
$158,489.32
Typical High
$489,778.82

Where Vermont 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.

Vermont· 29th of 51

$194,984

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.