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Diabetes with Complications

California rates for MS-DRG 638

Diabetes with CC

Rates data updated July 2026.

How much does Diabetes with Complications cost?

$22,387

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $22,387 for this service. Most negotiated rates run $16,982 to $32,359.

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 $22,387 · 10th to 90th $12,023 to $38,019
$100.0$500.0$2.0K$10.0K$50.0Kfacility $22,387

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
$13,803.84
Median
$20,892.96
Typical High
$38,018.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$12,882.50
Median
$22,387.21
Typical High
$38,018.94
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$6,606.93
Median
$16,218.10
Typical High
$56,234.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$12,302.69
Median
$18,197.01
Typical High
$32,359.37
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
$32,359.37
Median
$32,359.37
Typical High
$32,359.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$12,589.25
Median
$20,417.38
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$15,848.93
Typical High
$34,673.69

Where California sits

The same service costs 6.8 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 $22,387 · 2nd of 51
MT $48,978NM $7,244

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.