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Viral Illness with Major Complications

Oregon rates for MS-DRG 865

Viral Illness with MCC

Rates data updated July 2026.

How much does Viral Illness with Major Complications cost?

$33,884

Typical facility fee. In Oregon, July 2026.

Insurers have agreed to pay about $33,884 for this service. Most negotiated rates run $25,704 to $43,652.

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 $33,884 · 10th to 90th $19,498 to $51,286
$200.0$1.0K$5.0K$20.0Kfacility $33,884

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
$26,915.35
Median
$40,738.03
Typical High
$83,176.38
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$36,307.81
Typical High
$53,703.18
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$199.53
Typical High
$251.19
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$30,902.95
Typical High
$47,863.01
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$16,595.87
Median
$24,547.09
Typical High
$26,915.35
Providence
Setting
Facility
Modifier
Global
Typical Low
$25,703.96
Median
$35,481.34
Typical High
$51,286.14
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$23,988.33
Median
$28,840.32
Typical High
$43,651.58
United
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$33,113.11
Typical High
$40,738.03

Where Oregon 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.

Oregon $33,884 · 8th 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.