go back

Endocrine/Nutritional/Metabolic Surgery (with MCC)

California rates for MS-DRG 628

Other Endocrine, Nutritional and Metabolic O.R. Procedures with MCC

Rates data updated July 2026.

How much does Endocrine/Nutritional/Metabolic Surgery (with MCC) cost?

$91,201

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $91,201 for this service. Most negotiated rates run $56,234 to $125,893.

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 $91,201 · 10th to 90th $10,715 to $158,489
$1K$10K$100Kfacility $91,201

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
$57,543.99
Median
$87,096.36
Typical High
$158,489.32
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$10,715.19
Median
$93,325.43
Typical High
$158,489.32
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$24,547.09
Median
$64,565.42
Typical High
$131,825.67
Cigna
Setting
Facility
Modifier
Global
Typical Low
$51,286.14
Median
$75,857.76
Typical High
$131,825.67
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
$134,896.29
Median
$134,896.29
Typical High
$134,896.29
Providence
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$75,857.76
Typical High
$151,356.12
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$66,069.34
Typical High
$144,543.98

Where California sits

The same service costs 4.6 times more in Alaska than in Michigan. 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

$91,201

AK $97,724MI $21,380

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.