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Benign Prostatic Hypertrophy with Major Complications

New Jersey rates for MS-DRG 725

Benign Prostatic Hypertrophy with MCC

Rates data updated July 2026.

How much does Benign Prostatic Hypertrophy with Major Complications cost?

$25,704

Typical facility fee. In New Jersey, July 2026.

Insurers have agreed to pay about $25,704 for this service. Most negotiated rates run $20,417 to $31,623.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $25,704 · 10th to 90th $15,136 to $38,019
$10K$20K$50Kfacility $25,704

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
$17,782.79
Median
$28,183.83
Typical High
$38,018.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$28,840.32
Typical High
$37,153.52
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$23,988.33
Typical High
$33,884.42
United
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$14,454.40
Typical High
$32,359.37

Where New Jersey sits

The same service costs 7.8 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 Jersey· 10th of 51

$25,704

MT $72,444NM $9,333

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.