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Full Term Neonate with Major Problems

Texas 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?

$45,709

Typical facility fee. In Texas, October 2026.

Insurers have agreed to pay about $45,709 for this service. Most negotiated rates run $18,621 to $72,444.

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 $45,709 · 10th to 90th $10,000 to $97,724
$5K$10K$20K$50K$100Kfacility $45,709

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
$38,904.51
Median
$72,443.60
Typical High
$97,723.72
Ambetter
Setting
Facility
Modifier
None
Typical Low
$5,623.41
Median
$18,197.01
Typical High
$48,977.88
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$10,715.19
Median
$15,848.93
Typical High
$21,877.62
Cigna
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$47,863.01
Typical High
$91,201.08
Moda Health
Setting
Facility
Modifier
None
Typical Low
$37,153.52
Median
$97,723.72
Typical High
$97,723.72
Providence
Setting
Facility
Modifier
None
Typical Low
$38,904.51
Median
$64,565.42
Typical High
$125,892.54
United
Setting
Facility
Modifier
None
Typical Low
$7,079.46
Median
$45,708.82
Typical High
$114,815.36

Where Texas 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.

Texas· 32nd of 51

$45,709

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.