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Concussion with Complications

New York rates for MS-DRG 089

Concussion with CC

Rates data updated October 2026.

How much does Concussion with Complications cost?

$26,915

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $18,621 to $33,884.

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 $26,915 · 10th to 90th $12,589 to $42,658
$5K$10K$20K$50Kfacility $26,915

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
$9,332.54
Median
$19,952.62
Typical High
$41,686.94
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$32,359.37
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$25,118.86
Typical High
$38,018.94
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$15,848.93
Median
$29,512.09
Typical High
$53,703.18
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$10,964.78
Typical High
$10,964.78
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$19,054.61
Typical High
$35,481.34

Where New York sits

The same service costs 109.6 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

$26,915

AK $30,200HI $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.