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Stomach, Esophageal and Duodenal Procedure (with MCC)

New York rates for MS-DRG 326

Stomach, Esophageal and Duodenal Procedures with MCC

Rates data updated October 2026.

How much does Stomach, Esophageal and Duodenal Procedure (with MCC) cost?

$128,825

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $128,825 for this service. Most negotiated rates run $91,201 to $162,181.

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 $128,825 · 10th to 90th $58,884 to $194,984
$5K$10K$20K$50K$100K$200Kfacility $128,825

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
$42,657.95
Median
$102,329.30
Typical High
$194,984.46
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$89,125.09
Median
$144,543.98
Typical High
$199,526.23
Cigna
Setting
Facility
Modifier
None
Typical Low
$75,857.76
Median
$125,892.54
Typical High
$181,970.09
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$72,443.60
Median
$131,825.67
Typical High
$245,470.89
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$47,863.01
Median
$47,863.01
Typical High
$52,480.75
United
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$100,000.00
Typical High
$169,824.37

Where New York sits

The same service costs 467.7 times more in Vermont 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· 2nd of 51

$128,825

VT $128,825HI $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.