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New York rates for MS-DRG 405

Pancreas, liver & shunt procedures w MCC

Facilitymedian $138,038 · 10th–90th $52,481$213,7960%10%10th90th$138,038$2.0K$10.0K$50.0K$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
$43,651.58 / $114,815.36 / $213,796.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117,489.76 / $173,780.08 / $223,872.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$97,723.72 / $151,356.12 / $199,526.23
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $134,896.29 / $338,844.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $109,647.82 / $186,208.71