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New York rates for MS-DRG 981

Extensive O.R. procedure unrelated to principal diagnosis w MCC

Facilitymedian $117,490 · 10th–90th $45,709–$181,9700%10%10th90th$117,490$2.0K$10.0K$50.0K$200.0K

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
$37,153.52 / $97,723.72 / $181,970.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95,499.26 / $144,543.98 / $190,546.07
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83,176.38 / $131,825.67 / $169,824.37
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60,255.96 / $114,815.36 / $295,120.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $46,773.51 / $46,773.51
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $93,325.43 / $154,881.66