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Concussion with Major Complications

New Jersey rates for MS-DRG 088

Concussion with MCC

Rates data updated July 2026.

How much does Concussion with Major Complications cost?

$30,200

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $30,200 for this service. Most negotiated rates run $22,909 to $37,154.

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 $30,200 · 10th to 90th $17,783 to $43,652
$10K$20K$50Kfacility $30,200

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
$20,417.38
Median
$32,359.37
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$33,113.11
Typical High
$42,657.95
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$28,183.83
Typical High
$41,686.94
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$14,454.40
Typical High
$37,153.52

Where New Jersey sits

The same service costs 6.6 times more in Montana than in New Mexico. 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 Jersey· 10th of 51

$30,200

MT $72,444NM $10,965

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.