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Neonate with Other Significant Problems

California rates for MS-DRG 794

Neonate with Other Significant Problems

Rates data updated July 2026.

How much does Neonate with Other Significant Problems cost?

$35,481

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $35,481 for this service. Most negotiated rates run $23,988 to $44,668.

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 $35,481 · 10th to 90th $12,303 to $53,703
$100$500$2K$10K$50Kfacility $35,481

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
$22,908.68
Median
$33,884.42
Typical High
$63,095.73
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$37,153.52
Typical High
$60,255.96
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$9,549.93
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,054.61
Median
$26,302.68
Typical High
$52,480.75
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
$52,480.75
Median
$52,480.75
Typical High
$52,480.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$30,199.52
Typical High
$57,543.99
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$13,182.57
Typical High
$42,657.95

Where California sits

The same service costs 17.8 times more in Montana than in Idaho. 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· 3rd of 51

$35,481

MT $72,444ID $4,074

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.