go back

Prematurity without Major Problems

California rates for MS-DRG 792

Prematurity without Major Problems

Rates data updated October 2026.

How much does Prematurity without Major Problems cost?

$40,738

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $40,738 for this service. Most negotiated rates run $28,184 to $56,234.

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 $40,738 · 10th to 90th $5,012 to $83,176
$100$1K$10K$100Kfacility $40,738

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
$36,307.81
Median
$53,703.18
Typical High
$114,815.36
Ambetter
Setting
Facility
Modifier
None
Typical Low
$2,344.23
Median
$2,344.23
Typical High
$2,344.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$34,673.69
Median
$40,738.03
Typical High
$70,794.58
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$40,738.03
Typical High
$61,659.50
Cigna
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$57,543.99
Typical High
$102,329.30
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$173.78
Typical High
$295.12
Providence
Setting
Facility
Modifier
None
Typical Low
$40,738.03
Median
$61,659.50
Typical High
$102,329.30
United
Setting
Facility
Modifier
None
Typical Low
$4,897.79
Median
$27,542.29
Typical High
$70,794.58

Where California sits

The same service costs 239.9 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· 11th of 51

$40,738

AK $66,069HI $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.