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Hepatobiliary Diagnostic Procedures with Major Complications

New York rates for MS-DRG 420

Hepatobiliary Diagnostic Procedures with MCC

Rates data updated July 2026.

How much does Hepatobiliary Diagnostic Procedures with Major Complications cost?

$89,125

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $89,125 for this service. Most negotiated rates run $58,884 to $112,202.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $89,125 · 10th to 90th $38,019 to $131,826
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $89,125

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
$27,542.29
Median
$70,794.58
Typical High
$131,825.67
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$70,794.58
Median
$112,201.85
Typical High
$141,253.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$95,499.26
Typical High
$123,026.88
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$43,651.58
Median
$83,176.38
Typical High
$173,780.08
United
Setting
Facility
Modifier
Global
Typical Low
$16,982.44
Median
$70,794.58
Typical High
$117,489.76

Where New York sits

The same service costs 4.2 times more in New York than in Michigan. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $89,125 · 1st of 51
NY $89,125MI $21,380

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.