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Viral Illness with Major Complications

California rates for MS-DRG 865

Viral Illness with MCC

Rates data updated July 2026.

How much does Viral Illness with Major Complications cost?

$37,154

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $37,154 for this service. Most negotiated rates run $28,840 to $53,703.

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 $37,154 · 10th to 90th $19,498 to $63,096
$100.0$1.0K$10.0K$100.0Kfacility $37,154

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
$23,442.29
Median
$34,673.69
Typical High
$63,095.73
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$21,379.62
Median
$37,153.52
Typical High
$63,095.73
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$8,912.51
Median
$23,442.29
Typical High
$53,703.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19,952.62
Median
$30,199.52
Typical High
$53,703.18
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$53,703.18
Median
$53,703.18
Typical High
$53,703.18
Providence
Setting
Facility
Modifier
Global
Typical Low
$20,892.96
Median
$32,359.37
Typical High
$60,255.96
United
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$26,302.68
Typical High
$58,884.37

Where California sits

The same service costs 6.0 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $37,154 · 2nd of 51
MT $72,444NM $12,023

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.