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Interstitial Lung Disease with Major Complications

California rates for MS-DRG 196

Interstitial Lung Disease with MCC

Rates data updated July 2026.

How much does Interstitial Lung Disease with Major Complications cost?

$46,774

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $46,774 for this service. Most negotiated rates run $36,308 to $67,608.

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 $46,774 · 10th to 90th $24,547 to $79,433
$200$1K$5K$20K$100Kfacility $46,774

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
$29,512.09
Median
$43,651.58
Typical High
$79,432.82
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$26,915.35
Median
$46,773.51
Typical High
$79,432.82
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$29,512.09
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$37,153.52
Typical High
$67,608.30
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
$67,608.30
Median
$67,608.30
Typical High
$67,608.30
Providence
Setting
Facility
Modifier
Global
Typical Low
$26,302.68
Median
$38,904.51
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$33,113.11
Typical High
$74,131.02

Where California sits

The same service costs 4.8 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

$46,774

MT $72,444NM $15,136

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.