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Disorders of Pancreas Except Malignancy (with MCC)

New York rates for MS-DRG 438

Disorders of Pancreas Except Malignancy with MCC

Rates data updated July 2026.

How much does Disorders of Pancreas Except Malignancy (with MCC) cost?

$40,738

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $22,909 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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $40,738 · 10th to 90th $15,488 to $63,096
$10K$20K$50Kfacility $40,738

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
$12,302.69
Median
$34,673.69
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$33,884.42
Median
$53,703.18
Typical High
$67,608.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$38,904.51
Typical High
$56,234.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$39,810.72
Typical High
$83,176.38
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$27,542.29
Typical High
$51,286.14

Where New York sits

The same service costs 5.5 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· 2nd of 51

$40,738

MT $72,444NM $13,183

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.