go back

Diabetes with Major Complications

California rates for MS-DRG 637

Diabetes with MCC

Rates data updated October 2026.

How much does Diabetes with Major Complications cost?

$26,303

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $26,303 for this service. Most negotiated rates run $20,417 to $38,019.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $26,303 · 10th to 90th $8,318 to $51,286
$200$1K$5K$20Kfacility $26,303

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
$20,892.96
Median
$31,622.78
Typical High
$67,608.30
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$20,417.38
Median
$23,988.33
Typical High
$52,480.75
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$24,547.09
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$32,359.37
Typical High
$51,286.14
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$20,892.96
Median
$34,673.69
Typical High
$60,255.96
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$25,703.96
Typical High
$56,234.13

Where California sits

The same service costs 141.3 times more in Alaska 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· 13th of 51

$26,303

AK $38,905HI $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.