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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 October 2026.

How much does Full Term Neonate with Major Problems cost?

$69,183

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $69,183 for this service. Most negotiated rates run $44,668 to $95,499.

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 $69,183 · 10th to 90th $5,754 to $138,038
$100$1K$10K$100Kfacility $69,183

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
$61,659.50
Median
$91,201.08
Typical High
$194,984.46
Ambetter
Setting
Facility
Modifier
None
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$2,754.23
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$58,884.37
Median
$69,183.10
Typical High
$120,226.44
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$69,183.10
Typical High
$107,151.93
Cigna
Setting
Facility
Modifier
None
Typical Low
$70,794.58
Median
$97,723.72
Typical High
$177,827.94
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$173.78
Typical High
$295.12
Providence
Setting
Facility
Modifier
None
Typical Low
$69,183.10
Median
$104,712.85
Typical High
$177,827.94
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$46,773.51
Typical High
$123,026.88

Where California sits

The same service costs 407.4 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

$69,183

AK $112,202HI $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.