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Dental and Oral Diseases with Major Complications

New York rates for MS-DRG 157

Dental and Oral Diseases with MCC

Rates data updated July 2026.

How much does Dental and Oral Diseases with Major Complications cost?

$41,687

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $25,119 to $54,954.

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 $41,687 · 10th to 90th $14,791 to $67,608
$10K$20K$50K$100Kfacility $41,687

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
$12,302.69
Median
$34,673.69
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$35,481.34
Median
$56,234.13
Typical High
$70,794.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,199.52
Median
$47,863.01
Typical High
$61,659.50
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$42,657.95
Typical High
$87,096.36
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$28,840.32
Typical High
$54,954.09

Where New York sits

The same service costs 5.2 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 York· 4th of 51

$41,687

MT $72,444NM $13,804

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.