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New York rates for MS-DRG 165

Major chest procedures w/o CC/MCC

Facilitymedian $48,978 · 10th–90th $18,621–$75,8580%10%10th90th$48,978$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $40,738.03 / $74,131.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $61,659.50 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33,884.42 / $53,703.18 / $69,183.10
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $46,773.51 / $120,226.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $20,417.38 / $20,417.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $39,810.72 / $64,565.42