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Inflammatory Bowel Disease with Major Complications

New York rates for MS-DRG 385

Inflammatory Bowel Disease with MCC

Rates data updated July 2026.

How much does Inflammatory Bowel Disease with Major Complications cost?

$38,905

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $38,905 for this service. Most negotiated rates run $21,878 to $51,286.

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 $38,905 · 10th to 90th $15,136 to $61,660
$10K$20K$50Kfacility $38,905

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
$11,220.18
Median
$32,359.37
Typical High
$53,703.18
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,113.11
Median
$52,480.75
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$38,018.94
Typical High
$53,703.18
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$38,904.51
Typical High
$81,283.05
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$14,791.08
Typical High
$14,791.08
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$26,302.68
Typical High
$50,118.72

Where New York sits

The same service costs 5.8 times more in Montana than in New Mexico. 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· 4th of 51

$38,905

MT $72,444NM $12,589

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.