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Malignant Breast Disorders with Major Complications

California rates for MS-DRG 597

Malignant Breast Disorders with MCC

Rates data updated July 2026.

How much does Malignant Breast Disorders with Major Complications cost?

$41,687

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $41,687 for this service. Most negotiated rates run $31,623 to $60,256.

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 $41,687 · 10th to 90th $22,909 to $70,795
$100.0$1.0K$10.0K$100.0Kfacility $41,687

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
$25,703.96
Median
$38,904.51
Typical High
$70,794.58
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$41,686.94
Typical High
$70,794.58
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$17,782.79
Median
$28,183.83
Typical High
$60,255.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$33,884.42
Typical High
$60,255.96
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
$60,255.96
Median
$60,255.96
Typical High
$60,255.96
Providence
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$38,018.94
Typical High
$69,183.10
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$29,512.09
Typical High
$64,565.42

Where California sits

The same service costs 5.4 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $41,687 · 5th of 51
MT $72,444NM $13,490

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.