go back

Prematurity with Major Problems

New York rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$81,283

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $81,283 for this service. Most negotiated rates run $35,481 to $123,027.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $81,283 · 10th to 90th $9,120 to $162,181
$5K$10K$20K$50K$100K$200Kfacility $81,283

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
$30,902.95
Median
$85,113.80
Typical High
$158,489.32
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$5,754.40
Median
$83,176.38
Typical High
$186,208.71
Cigna
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$100,000.00
Typical High
$158,489.32
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$67,608.30
Typical High
$144,543.98
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$51,286.14
Median
$104,712.85
Typical High
$120,226.44
United
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$69,183.10
Typical High
$134,896.29

Where New York sits

The same service costs 398.1 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· 5th of 51

$81,283

AK $109,648HI $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.