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Pulmonary Edema and Respiratory Failure

New York rates for MS-DRG 189

Pulmonary Edema and Respiratory Failure

Rates data updated July 2026.

How much does Pulmonary Edema and Respiratory Failure cost?

$28,840

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $19,498 to $38,019.

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 $28,840 · 10th to 90th $12,023 to $47,863
$10K$20K$50Kfacility $28,840

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
$10,715.19
Median
$23,988.33
Typical High
$40,738.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$40,738.03
Typical High
$50,118.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$29,512.09
Typical High
$42,657.95
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$30,199.52
Typical High
$63,095.73
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$11,748.98
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$20,892.96
Typical High
$38,904.51

Where New York sits

The same service costs 4.9 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· 7th of 51

$28,840

MT $48,978NM $10,000

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.