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Other Respiratory System Diagnoses with Major Complications

New Jersey rates for MS-DRG 205

Other Respiratory System Diagnoses with MCC

Rates data updated July 2026.

How much does Other Respiratory System Diagnoses with Major Complications cost?

$38,905

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $28,184 to $48,978.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $38,905 · 10th to 90th $21,380 to $58,884
$10K$20K$50K$100Kfacility $38,905

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
$25,703.96
Median
$43,651.58
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$44,668.36
Typical High
$58,884.37
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$30,199.52
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$17,782.79
Typical High
$50,118.72

Where New Jersey sits

The same service costs 4.9 times more in Montana than in Mississippi. 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 Jersey· 10th of 51

$38,905

MT $72,444MS $14,791

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.