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Concussion without Complications

California rates for MS-DRG 090

Concussion without CC/MCC

Rates data updated October 2026.

How much does Concussion without Complications cost?

$15,136

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $15,136 for this service. Most negotiated rates run $11,749 to $21,878.

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 $15,136 · 10th to 90th $6,918 to $29,512
$200$500$1K$2K$5K$10K$20Kfacility $15,136

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$18,197.01
Typical High
$38,904.51
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$11,748.98
Median
$13,803.84
Typical High
$29,512.09
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$14,454.40
Typical High
$25,703.96
Cigna
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$18,620.87
Typical High
$29,512.09
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$12,022.64
Median
$19,498.45
Typical High
$34,673.69
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$14,454.40
Typical High
$32,359.37

Where California sits

The same service costs 81.3 times more in Alaska than in Hawaii. 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· 13th of 51

$15,136

AK $22,387HI $275

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.