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Splenic Procedures with Major Complications

New York rates for MS-DRG 799

Splenic Procedures with MCC

Rates data updated July 2026.

How much does Splenic Procedures with Major Complications cost?

$117,490

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $117,490 for this service. Most negotiated rates run $77,625 to $147,911.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $117,490 · 10th to 90th $48,978 to $177,828
$20K$50K$100K$200Kfacility $117,490

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
$37,153.52
Median
$93,325.43
Typical High
$177,827.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$93,325.43
Median
$147,910.84
Typical High
$186,208.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$81,283.05
Median
$125,892.54
Typical High
$162,181.01
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$112,201.85
Typical High
$234,422.88
United
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$95,499.26
Typical High
$154,881.66

Where New York sits

The same service costs 5.5 times more in Alaska than in Michigan. 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· 2nd of 51

$117,490

AK $117,490MI $21,380

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.