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Inflammatory Bowel Disease with Major Complications

California rates for MS-DRG 385

Inflammatory Bowel Disease with MCC

Rates data updated July 2026.

How much does Inflammatory Bowel Disease with Major Complications cost?

$39,811

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $39,811 for this service. Most negotiated rates run $30,200 to $57,544.

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 $39,811 · 10th to 90th $21,380 to $66,069
$200$1K$5K$20Kfacility $39,811

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
$24,547.09
Median
$37,153.52
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$39,810.72
Typical High
$66,069.34
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$16,218.10
Median
$30,902.95
Typical High
$66,069.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$32,359.37
Typical High
$56,234.13
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
$56,234.13
Median
$56,234.13
Typical High
$56,234.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$36,307.81
Typical High
$66,069.34
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$27,542.29
Typical High
$61,659.50

Where California sits

The same service costs 5.8 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· 3rd of 51

$39,811

MT $72,444NM $12,589

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.