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Prematurity without Major Problems

New York rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated October 2026.

How much does Prematurity without Major Problems cost?

$50,119

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $50,119 for this service. Most negotiated rates run $28,184 to $74,131.

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 $50,119 · 10th to 90th $7,943 to $97,724
$5K$10K$20K$50K$100Kfacility $50,119

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
$19,054.61
Median
$50,118.72
Typical High
$95,499.26
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,467.37
Median
$51,286.14
Typical High
$112,201.85
Cigna
Setting
Facility
Modifier
None
Typical Low
$38,018.94
Median
$60,255.96
Typical High
$89,125.09
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$40,738.03
Typical High
$87,096.36
MVP Health Care
Setting
Facility
Modifier
None
Typical Low
$27,542.29
Median
$53,703.18
Typical High
$74,131.02
United
Setting
Facility
Modifier
None
Typical Low
$10,000.00
Median
$44,668.36
Typical High
$81,283.05

Where New York sits

The same service costs 239.9 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· 4th of 51

$50,119

AK $66,069HI $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.