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Disorders of Pancreas Except Malignancy (with MCC)

California rates for MS-DRG 438

Disorders of Pancreas Except Malignancy with MCC

Rates data updated July 2026.

How much does Disorders of Pancreas Except Malignancy (with MCC) cost?

$40,738

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $30,903 to $58,884.

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 $40,738 · 10th to 90th $21,878 to $69,183
$200$1K$5K$20Kfacility $40,738

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
$25,118.86
Median
$38,018.94
Typical High
$69,183.10
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$40,738.03
Typical High
$69,183.10
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$13,489.63
Median
$26,302.68
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$33,113.11
Typical High
$58,884.37
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
$58,884.37
Median
$58,884.37
Typical High
$58,884.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$22,908.68
Median
$37,153.52
Typical High
$67,608.30
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$28,840.32
Typical High
$63,095.73

Where California sits

The same service costs 5.5 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

$40,738

MT $72,444NM $13,183

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.