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Prematurity with Major Problems

California rates for MS-DRG 791

Prematurity with Major Problems

Rates data updated October 2026.

How much does Prematurity with Major Problems cost?

$67,608

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $67,608 for this service. Most negotiated rates run $48,978 to $93,325.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $67,608 · 10th to 90th $5,754 to $134,896
$100$1K$10K$100Kfacility $67,608

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
$60,255.96
Median
$89,125.09
Typical High
$190,546.07
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$57,543.99
Median
$67,608.30
Typical High
$117,489.76
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$67,608.30
Typical High
$102,329.30
Cigna
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$95,499.26
Typical High
$169,824.37
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$173.78
Typical High
$295.12
Providence
Setting
Facility
Modifier
None
Typical Low
$67,608.30
Median
$102,329.30
Typical High
$169,824.37
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$45,708.82
Typical High
$117,489.76

Where California sits

The same service costs 398.1 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.

California· 12th of 51

$67,608

AK $109,648HI $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.