go back

Texas rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,915.00 / $23,253.80 / $40,855.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,000.00 / $19,264.45 / $33,278.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.00 / $2,208.00 / $8,605.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,864.00 / $14,978.08 / $42,450.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,897.44 / $47,768.90 / $56,060.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,859.10 / $5,151.97 / $468,908.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,119.00 / $18,022.00 / $43,573.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.00 / $3,800.00 / $22,563.54