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Dental and Oral Diseases with Major Complications

California rates for MS-DRG 157

Dental and Oral Diseases with MCC

Rates data updated October 2026.

How much does Dental and Oral Diseases with Major Complications cost?

$31,623

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $31,623 for this service. Most negotiated rates run $24,547 to $45,709.

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 $31,623 · 10th to 90th $8,511 to $61,660
$200$1K$5K$20Kfacility $31,623

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
$25,118.86
Median
$37,153.52
Typical High
$81,283.05
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$24,547.09
Median
$28,840.32
Typical High
$61,659.50
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$18,197.01
Median
$28,840.32
Typical High
$48,977.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$38,018.94
Typical High
$61,659.50
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$25,118.86
Median
$40,738.03
Typical High
$72,443.60
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$30,199.52
Typical High
$67,608.30

Where California sits

The same service costs 169.8 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

$31,623

AK $46,774HI $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.