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Full Term Neonate with Major Problems

New York rates for MS-DRG 793

Full Term Neonate with Major Problems

Rates data updated July 2026.

How much does Full Term Neonate with Major Problems cost?

$83,176

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $83,176 for this service. Most negotiated rates run $43,652 to $128,825.

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 $83,176 · 10th to 90th $12,589 to $173,780
$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0Kfacility $83,176

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
$33,884.42
Median
$81,283.05
Typical High
$162,181.01
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$89,125.09
Typical High
$213,796.21
Cigna
Setting
Facility
Modifier
Global
Typical Low
$74,131.02
Median
$107,151.93
Typical High
$162,181.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$85,113.80
Typical High
$263,026.80
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$14,791.08
Median
$28,840.32
Typical High
$120,226.44
United
Setting
Facility
Modifier
Global
Typical Low
$8,317.64
Median
$70,794.58
Typical High
$134,896.29

Where New York sits

The same service costs 14.1 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 $83,176 · 8th of 51
AK $102,329WV $7,244

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.