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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 October 2026.

How much does Interstitial Lung Disease with Major Complications cost?

$46,774

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $30,200 to $57,544.

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 $46,774 · 10th to 90th $16,596 to $72,444
$5K$10K$20K$50K$100Kfacility $46,774

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$35,481.34
Typical High
$70,794.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$36,307.81
Median
$56,234.13
Typical High
$74,131.02
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$42,657.95
Typical High
$64,565.42
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$50,118.72
Typical High
$93,325.43
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$20,417.38
Typical High
$20,417.38
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$30,199.52
Typical High
$57,543.99

Where New York sits

The same service costs 186.2 times more in Alaska than in Hawaii. 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· 3rd of 51

$46,774

AK $51,286HI $275

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.