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Respiratory Infections and Inflammations (without CC/MCC)

California rates for MS-DRG 179

Respiratory Infections and Inflammations without CC/MCC

Rates data updated July 2026.

How much does Respiratory Infections and Inflammations (without CC/MCC) cost?

$19,055

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $19,055 for this service. Most negotiated rates run $14,454 to $27,542.

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 $19,055 · 10th to 90th $10,471 to $31,623
$200$500$1K$2K$5K$10K$20Kfacility $19,055

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
$11,748.98
Median
$17,378.01
Typical High
$32,359.37
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$19,054.61
Typical High
$31,622.78
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$15,848.93
Typical High
$27,542.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$11,220.18
Median
$15,488.17
Typical High
$27,542.29
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
$26,915.35
Median
$26,915.35
Typical High
$26,915.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$17,378.01
Typical High
$31,622.78
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$13,182.57
Typical High
$29,512.09

Where California sits

The same service costs 7.9 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· 4th of 51

$19,055

MT $48,978NM $6,166

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.