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Viral Illness with Major Complications

New York rates for MS-DRG 865

Viral Illness with MCC

Rates data updated October 2026.

How much does Viral Illness with Major Complications cost?

$36,308

Typical facility fee. In New York, October 2026.

Insurers have agreed to pay about $36,308 for this service. Most negotiated rates run $23,988 to $45,709.

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 $36,308 · 10th to 90th $15,488 to $57,544
$5K$10K$20K$50K$100Kfacility $36,308

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
$10,964.78
Median
$27,542.29
Typical High
$56,234.13
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$28,840.32
Median
$44,668.36
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$33,884.42
Typical High
$51,286.14
Emblem Health
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$39,810.72
Typical High
$74,131.02
United
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$23,442.29
Typical High
$44,668.36

Where New York sits

The same service costs 147.9 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· 3rd of 51

$36,308

AK $40,738HI $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.