go back

California rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $93,325.43 / $177,827.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,543.99 / $102,329.30 / $169,824.37
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $38,904.51 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $70,794.58 / $144,543.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144,543.98 / $144,543.98 / $144,543.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $83,176.38 / $154,881.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $12,022.64 / $117,489.76