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California rates for MS-DRG 004

Tracheostomy with Mechanical Ventilation >96 Hours or Principal Diagnosis Except Face, Mouth and Neck without Major O.R. Procedures

Rates data updated July 2026.

How much does MS-DRG 004 cost?

$338,844

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $338,844 for this service. Most negotiated rates run $199,526 to $467,735.

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 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $338,844 · 10th to 90th $10,715 to $588,844
$1K$10K$100Kfacility $338,844

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
$213,796.21
Median
$323,593.66
Typical High
$588,843.66
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$346,736.85
Typical High
$588,843.66
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$144,543.98
Typical High
$436,515.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165,958.69
Median
$269,153.48
Typical High
$489,778.82
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$501,187.23
Median
$501,187.23
Typical High
$501,187.23
Providence
Setting
Facility
Modifier
Global
Typical Low
$186,208.71
Median
$281,838.29
Typical High
$562,341.33
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$239,883.29
Typical High
$537,031.80

Where California sits

The same service costs 17.8 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· 4th of 51

$338,844

NY $380,189MI $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.