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New York rates for MS-DRG 863

Postoperative & post-traumatic infections w/o MCC

Facilitymedian $20,893 · 10th–90th $9,550$38,9050%10%10th90th$20,893$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $19,498.45 / $38,904.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $31,622.78 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,488.17 / $23,988.33 / $33,884.42
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $24,547.09 / $61,659.50
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $10,964.78 / $10,964.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $18,197.01 / $30,902.95