go back

New York rates for MS-DRG 291

Heart failure & shock w MCC

Facilitymedian $28,840 · 10th–90th $11,220$52,4810%10%10th90th$28,840$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$10,232.93 / $26,302.68 / $52,480.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $39,810.72 / $52,480.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $30,902.95 / $43,651.58
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,595.87 / $31,622.78 / $79,432.82
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $12,882.50 / $14,791.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,317.64 / $22,908.68 / $39,810.72