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Prematurity with Major Problems

New York rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$87,096

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $87,096 for this service. Most negotiated rates run $45,709 to $134,896.

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 $87,096 · 10th to 90th $12,589 to $169,824
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $87,096

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
$32,359.37
Median
$87,096.36
Typical High
$158,489.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$85,113.80
Typical High
$208,929.61
Cigna
Setting
Facility
Modifier
Global
Typical Low
$69,183.10
Median
$109,647.82
Typical High
$165,958.69
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$83,176.38
Typical High
$251,188.64
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$104,712.85
Typical High
$120,226.44
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$69,183.10
Typical High
$131,825.67

Where New York sits

The same service costs 8.5 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $87,096 · 7th of 51
AK $100,000WV $11,749

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.