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Other Circulatory System Operating Room Procedures

New York rates for MS-DRG 264

Other Circulatory System O.R. Procedures

Rates data updated July 2026.

How much does Other Circulatory System Operating Room Procedures cost?

$87,096

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $87,096 for this service. Most negotiated rates run $57,544 to $112,202.

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 $87,096 · 10th to 90th $36,308 to $138,038
$20K$50K$100Kfacility $87,096

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
$26,915.35
Median
$69,183.10
Typical High
$131,825.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$109,647.82
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$58,884.37
Median
$93,325.43
Typical High
$120,226.44
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$42,657.95
Median
$83,176.38
Typical High
$169,824.37
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$69,183.10
Typical High
$114,815.36

Where New York sits

The same service costs 4.1 times more in New York than in Michigan. 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· 1st of 51

$87,096

NY $87,096MI $21,380

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.