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Amputation (with MCC)

New York rates for MS-DRG 474

Amputation for Musculoskeletal System and Connective Tissue Disorders with MCC

Rates data updated July 2026.

How much does Amputation (with MCC) cost?

$112,202

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $112,202 for this service. Most negotiated rates run $74,131 to $141,254.

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 $112,202 · 10th to 90th $44,668 to $165,959
$20K$50K$100K$200Kfacility $112,202

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
$34,673.69
Median
$89,125.09
Typical High
$165,958.69
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$85,113.80
Median
$141,253.75
Typical High
$177,827.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75,857.76
Median
$120,226.44
Typical High
$154,881.66
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$54,954.09
Median
$104,712.85
Typical High
$218,776.16
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$85,113.80
Typical High
$144,543.98

Where New York sits

The same service costs 5.2 times more in New York than in Michigan. 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· 1st of 51

$112,202

NY $112,202MI $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.