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New York rates for MS-DRG 269

Aortic and heart assist procedures except pulsation balloon w/o MCC

Facilitymedian $104,713 · 10th–90th $40,738–$165,9590%5%10%10th90th$104,713$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $91,201.08 / $165,958.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $125,892.54 / $173,780.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75,857.76 / $117,489.76 / $151,356.12
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $104,712.85 / $263,026.80
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $40,738.03 / $40,738.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $89,125.09 / $151,356.12