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Traumatic Stupor and Coma <1 Hour with Major Complications

California rates for MS-DRG 085

Traumatic Stupor and Coma <1 Hour with MCC

Rates data updated July 2026.

How much does Traumatic Stupor and Coma <1 Hour with Major Complications cost?

$56,234

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $56,234 for this service. Most negotiated rates run $43,652 to $81,283.

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 $56,234 · 10th to 90th $30,200 to $95,499
$200$1K$5K$20K$100Kfacility $56,234

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
$34,673.69
Median
$52,480.75
Typical High
$97,723.72
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$32,359.37
Median
$56,234.13
Typical High
$95,499.26
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$35,481.34
Typical High
$85,113.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$30,902.95
Median
$46,773.51
Typical High
$81,283.05
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
$81,283.05
Median
$81,283.05
Typical High
$81,283.05
Providence
Setting
Facility
Modifier
Global
Typical Low
$31,622.78
Median
$51,286.14
Typical High
$93,325.43
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$39,810.72
Typical High
$89,125.09

Where California sits

The same service costs 4.7 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.

California· 3rd of 51

$56,234

MT $72,444WV $15,488

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.