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New York rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Facilitymedian $30,200 · 10th–90th $13,183–$53,7030%5%10%10th90th$30,200$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
$10,964.78 / $28,183.83 / $53,703.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $43,651.58 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $33,113.11 / $46,773.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,378.01 / $33,884.42 / $85,113.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,220.18 / $12,589.25 / $15,488.17
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $23,442.29 / $42,657.95