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Other Respiratory System Diagnoses with Major Complications

New York rates for MS-DRG 205

Other Respiratory System Diagnoses with MCC

Rates data updated October 2026.

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

$44,668

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $44,668 for this service. Most negotiated rates run $29,512 to $56,234.

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 $44,668 · 10th to 90th $16,218 to $70,795
$5K$10K$20K$50K$100Kfacility $44,668

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
$34,673.69
Typical High
$69,183.10
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$35,481.34
Median
$53,703.18
Typical High
$72,443.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$41,686.94
Typical High
$63,095.73
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$26,915.35
Median
$48,977.88
Typical High
$91,201.08
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$17,378.01
Typical High
$17,378.01
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 182.0 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

$44,668

AK $50,119HI $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.