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Diabetes with Major Complications

Wisconsin rates for MS-DRG 637

Diabetes with MCC

Rates data updated October 2026.

How much does Diabetes with Major Complications cost?

$24,547

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $20,417 to $30,200.

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 $24,547 · 10th to 90th $14,454 to $35,481
$500$1K$2K$5K$10K$20K$50Kfacility $24,547

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
$21,379.62
Median
$21,379.62
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$14,791.08
Median
$25,703.96
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$25,118.86
Typical High
$37,153.52
DeanCare
Setting
Facility
Modifier
None
Typical Low
$18,620.87
Median
$21,379.62
Typical High
$26,915.35
Medica
Setting
Facility
Modifier
None
Typical Low
$19,952.62
Median
$26,302.68
Typical High
$35,481.34
Quartz
Setting
Facility
Modifier
None
Typical Low
$288.40
Median
$16,595.87
Typical High
$28,840.32
Security Health
Setting
Facility
Modifier
None
Typical Low
$23,442.29
Median
$26,302.68
Typical High
$30,902.95
United
Setting
Facility
Modifier
None
Typical Low
$16,218.10
Median
$27,542.29
Typical High
$33,884.42

Where Wisconsin 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.

Wisconsin· 18th of 51

$24,547

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.