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New York rates for MS-DRG 472

Cervical spinal fusion w CC

Facilitymedian $72,444 · 10th–90th $28,184–$114,8150%10%10th90th$72,444$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$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
$23,442.29 / $61,659.50 / $114,815.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58,884.37 / $81,283.05 / $107,151.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52,480.75 / $81,283.05 / $107,151.93
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40,738.03 / $72,443.60 / $181,970.09
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $26,915.35 / $26,915.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17,782.79 / $64,565.42 / $107,151.93