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Other Digestive System Diagnoses without Complications

California rates for MS-DRG 395

Other Digestive System Diagnoses without CC/MCC

Rates data updated October 2026.

How much does Other Digestive System Diagnoses without Complications cost?

$12,303

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $12,303 for this service. Most negotiated rates run $9,120 to $17,783.

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 $12,303 · 10th to 90th $6,310 to $25,704
$200$500$1K$2K$5K$10K$20Kfacility $12,303

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
$9,549.93
Median
$14,125.38
Typical High
$30,199.52
Ambetter
Setting
Facility
Modifier
None
Typical Low
$30,199.52
Median
$30,199.52
Typical High
$30,199.52
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$9,120.11
Median
$10,715.19
Typical High
$23,442.29
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$7,244.36
Median
$12,589.25
Typical High
$31,622.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$14,454.40
Typical High
$23,442.29
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$9,549.93
Median
$15,488.17
Typical High
$27,542.29
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$11,481.54
Typical High
$25,118.86

Where California sits

The same service costs 74.1 times more in Michigan 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· 15th of 51

$12,303

MI $20,417HI $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.