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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 July 2026.

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

$42,658

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $42,658 for this service. Most negotiated rates run $32,359 to $61,660.

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 $42,658 · 10th to 90th $22,387 to $72,444
$200$1K$5K$20Kfacility $42,658

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
$26,915.35
Median
$39,810.72
Typical High
$72,443.60
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$42,657.95
Typical High
$72,443.60
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$11,481.54
Median
$25,703.96
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$34,673.69
Typical High
$61,659.50
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
$61,659.50
Median
$61,659.50
Typical High
$61,659.50
Providence
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$36,307.81
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$30,199.52
Typical High
$67,608.30

Where California sits

The same service costs 5.2 times more in Montana than in New Mexico. 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· 2nd of 51

$42,658

MT $72,444NM $13,804

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.