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Interstitial Lung Disease with Major Complications

New York rates for MS-DRG 196

Interstitial Lung Disease with MCC

Rates data updated July 2026.

How much does Interstitial Lung Disease with Major Complications cost?

$46,774

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $25,704 to $58,884.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $46,774 · 10th to 90th $15,488 to $74,131
$10K$20K$50K$100Kfacility $46,774

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
$13,489.63
Median
$38,018.94
Typical High
$61,659.50
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$61,659.50
Typical High
$77,624.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$45,708.82
Typical High
$64,565.42
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$46,773.51
Typical High
$95,499.26
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$31,622.78
Typical High
$60,255.96

Where New York sits

The same service costs 4.8 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· 2nd of 51

$46,774

MT $72,444NM $15,136

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.