go back

New York rates for MS-DRG 354

Hernia procedures except inguinal & femoral w CC

Facilitymedian $41,687 · 10th–90th $16,218–$66,0690%5%10%10th90th$41,687$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
$13,489.63 / $35,481.34 / $66,069.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $53,703.18 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $46,773.51 / $60,255.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21,379.62 / $41,686.94 / $104,712.85
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,022.64 / $35,481.34 / $58,884.37