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Benign Prostatic Hypertrophy with Major Complications

New York 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?

$26,303

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $18,621 to $36,308.

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 $26,303 · 10th to 90th $11,482 to $45,709
$10K$20K$50Kfacility $26,303

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
$10,232.93
Median
$22,908.68
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$38,904.51
Typical High
$47,863.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$28,183.83
Typical High
$39,810.72
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$28,840.32
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$19,952.62
Typical High
$38,018.94

Where New York 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 York· 9th of 51

$26,303

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.