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California rates for MS-DRG 003

ECMO or Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck with Major O.R. Procedures

Rates data updated July 2026.

How much does MS-DRG 003 cost?

$512,861

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $512,861 for this service. Most negotiated rates run $301,995 to $724,436.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $512,861 · 10th to 90th $10,715 to $891,251
$1K$10K$100K$1Mfacility $512,861

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
$331,131.12
Median
$489,778.82
Typical High
$851,138.04
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$524,807.46
Typical High
$891,250.94
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$100,000.00
Typical High
$691,830.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$275,422.87
Median
$416,869.38
Typical High
$758,577.58
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
Global
Typical Low
$295,120.92
Median
$436,515.83
Typical High
$851,138.04
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$346,736.85
Typical High
$676,082.98

Where California sits

The same service costs 27.5 times more in New York 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.

California· 5th of 51

$512,861

NY $588,844MI $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.