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Viral Illness with Major Complications

Georgia rates for MS-DRG 865

Viral Illness with MCC

Rates data updated October 2026.

How much does Viral Illness with Major Complications cost?

$24,547

Typical facility fee. In Georgia, October 2026.

Insurers have agreed to pay about $24,547 for this service. Most negotiated rates run $15,136 to $34,674.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24,547 · 10th to 90th $8,511 to $43,652
$2K$5K$10K$20K$50Kfacility $24,547

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
$19,498.45
Median
$25,118.86
Typical High
$43,651.58
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$7,585.78
Median
$20,892.96
Typical High
$42,657.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$15,488.17
Median
$30,902.95
Typical High
$46,773.51
Kaiser Permanente
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$26,915.35
Typical High
$43,651.58

Where Georgia 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.

Georgia· 19th of 51

$24,547

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.