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Prematurity with Major Problems

California rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated July 2026.

How much does Prematurity with Major Problems cost?

$97,724

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $97,724 for this service. Most negotiated rates run $67,608 to $125,893.

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 $97,724 · 10th to 90th $37,154 to $147,911
$100.0$1.0K$10.0K$100.0Kfacility $97,724

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
$63,095.73
Median
$93,325.43
Typical High
$173,780.08
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$102,329.30
Typical High
$169,824.37
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$51,286.14
Typical High
$97,723.72
Cigna
Setting
Facility
Modifier
Global
Typical Low
$52,480.75
Median
$72,443.60
Typical High
$144,543.98
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$288.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$144,543.98
Median
$144,543.98
Typical High
$144,543.98
Providence
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$83,176.38
Typical High
$154,881.66
United
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$36,307.81
Typical High
$117,489.76

Where California sits

The same service costs 8.5 times more in Alaska than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $97,724 · 5th of 51
AK $100,000WV $11,749

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.