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Viral Illness without Major Complications

New York rates for MS-DRG 866

Viral Illness without MCC

Rates data updated July 2026.

How much does Viral Illness without Major Complications cost?

$19,498

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $19,498 for this service. Most negotiated rates run $14,125 to $26,915.

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 $19,498 · 10th to 90th $9,333 to $33,884
$5K$10K$20K$50Kfacility $19,498

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
$7,585.78
Median
$15,848.93
Typical High
$28,840.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,197.01
Median
$28,840.32
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,488.17
Median
$20,892.96
Typical High
$29,512.09
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$21,379.62
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$5,623.41
Median
$16,595.87
Typical High
$27,542.29

Where New York sits

The same service costs 7.2 times more in Montana than in West Virginia. 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· 10th of 51

$19,498

MT $48,978WV $6,761

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.