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Traumatic Stupor and Coma <1 Hour with Major Complications

New York rates for MS-DRG 085

Traumatic Stupor and Coma <1 Hour with MCC

Rates data updated October 2026.

How much does Traumatic Stupor and Coma <1 Hour with Major Complications cost?

$56,234

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $37,154 to $70,795.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $56,234 · 10th to 90th $18,197 to $87,096
$5K$10K$20K$50K$100Kfacility $56,234

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
$13,489.63
Median
$42,657.95
Typical High
$87,096.36
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$43,651.58
Median
$67,608.30
Typical High
$89,125.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$51,286.14
Typical High
$77,624.71
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$33,113.11
Median
$60,255.96
Typical High
$112,201.85
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$37,153.52
Typical High
$70,794.58

Where New York sits

The same service costs 223.9 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· 3rd of 51

$56,234

AK $61,660HI $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.