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Full Term Neonate with Major Problems

California rates for MS-DRG 793

Full Term Neonate with Major Problems

Rates data updated July 2026.

How much does Full Term Neonate with Major Problems cost?

$100,000

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $100,000 for this service. Most negotiated rates run $69,183 to $128,825.

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 $100,000 · 10th to 90th $35,481 to $151,356
$100.0$1.0K$10.0K$100.0Kfacility $100,000

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
$64,565.42
Median
$97,723.72
Typical High
$177,827.94
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60,255.96
Median
$104,712.85
Typical High
$173,780.08
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$35,481.34
Typical High
$100,000.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$74,131.02
Typical High
$147,910.84
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
$151,356.12
Median
$151,356.12
Typical High
$151,356.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$57,543.99
Median
$85,113.80
Typical High
$162,181.01
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$37,153.52
Typical High
$120,226.44

Where California sits

The same service costs 14.1 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 $100,000 · 4th of 51
AK $102,329WV $7,244

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.