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Viral Illness with Major Complications

California rates for MS-DRG 865

Viral Illness with MCC

Rates data updated October 2026.

How much does Viral Illness with Major Complications cost?

$26,915

Typical facility fee. In California, October 2026.

Insurers have agreed to pay about $26,915 for this service. Most negotiated rates run $21,380 to $39,811.

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 $26,915 · 10th to 90th $8,318 to $53,703
$200$1K$5K$20Kfacility $26,915

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
$21,877.62
Median
$33,113.11
Typical High
$70,794.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$21,379.62
Median
$25,118.86
Typical High
$53,703.18
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$25,118.86
Typical High
$44,668.36
Cigna
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$33,884.42
Typical High
$53,703.18
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$141.25
Median
$194.98
Typical High
$302.00
Providence
Setting
Facility
Modifier
None
Typical Low
$21,877.62
Median
$35,481.34
Typical High
$63,095.73
United
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$26,302.68
Typical High
$58,884.37

Where California sits

The same service costs 147.9 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· 13th of 51

$26,915

AK $40,738HI $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.