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New York rates for MS-DRG 791

Prematurity With Major Problems

Facilitymedian $87,096 · 10th–90th $15,488–$162,1810%5%10%10th90th$87,096$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
$28,840.32 / $87,096.36 / $158,489.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,456.54 / $87,096.36 / $208,929.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $109,647.82 / $165,958.69
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $85,113.80 / $251,188.64
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $74,131.02 / $131,825.67