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Trauma to Skin/Subcutaneous Tissue/Breast (with MCC)

New York rates for MS-DRG 604

Trauma to the Skin, Subcutaneous Tissue and Breast with MCC

Rates data updated October 2026.

How much does Trauma to Skin/Subcutaneous Tissue/Breast (with MCC) cost?

$35,481

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $21,878 to $44,668.

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 $35,481 · 10th to 90th $14,125 to $54,954
$5K$10K$20K$50K$100Kfacility $35,481

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$10,964.78
Median
$27,542.29
Typical High
$54,954.09
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$42,657.95
Typical High
$54,954.09
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$33,113.11
Typical High
$50,118.72
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$38,904.51
Typical High
$72,443.60
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$23,988.33
Typical High
$45,708.82

Where New York sits

The same service costs 144.5 times more in Alaska than in Hawaii. 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· 3rd of 51

$35,481

AK $39,811HI $275

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.