Diabetes admission with a major complication or comorbidity

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 41efcec26401
Generated: October 17, 2026

Original text from hospital filings

DIABETES WITH MCC

Payers reporting MS-DRG 637

65 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare case rate · inpatient · +13 other terms	712	$15,477	$19,235	$71.39 – $104,842
2	Aetna case rate · inpatient · +13 other terms	486	$16,875	$20,896	$69.22 – $298,834
3	Humana fee schedule · inpatient · +12 other terms	431	$12,674	$14,227	$1,640 – $42,355
4	Blue Cross Blue Shield fee schedule · inpatient · +13 other terms	401	$17,117	$19,338	$31.00 – $96,635
5	Cigna case rate · inpatient · +11 other terms	384	$21,699	$23,827	$8,235 – $94,252
6	WellCare fee schedule · inpatient · +9 other terms	271	$13,078	$13,840	$1,640 – $34,207
7	Molina fee schedule · inpatient · +10 other terms	257	$14,373	$15,830	$7,890 – $38,028
8	Devoted fee schedule · inpatient · +9 other terms	223	$12,874	$13,046	$1,624 – $33,218
9	Anthem case rate · inpatient · +11 other terms	175	$19,649	$22,293	$4,904 – $125,856
10	Oscar fee schedule · inpatient · +7 other terms	153	$15,631	$16,224	$10,067 – $36,610
11	Cigna Healthspring fee schedule · inpatient · +4 other terms	111	$13,286	$13,774	$1,640 – $32,567
12	Ambetter case rate · inpatient · +9 other terms	106	$20,000	$20,678	$10,490 – $74,011
13	Kaiser case rate · inpatient · +9 other terms	96	$15,270	$12,422	$3,000 – $46,088
14	Highmark facility · case rate · inpatient · +9 other terms	89	$20,353	$20,792	$1,851 – $48,125
15	Tricare case rate · inpatient · +10 other terms	75	$10,765	$10,604	$7,160 – $21,549
16	Optum case rate · inpatient · +9 other terms	64	$12,408	$13,109	$9,575 – $35,812
17	MultiPlan per diem · inpatient · +9 other terms	61	$3,966	$5,908	$950.00 – $29,981
18	Caresource other · inpatient · +8 other terms	59	$13,536	$13,437	$1.54 – $31,588
19	Phcs per diem · inpatient · +9 other terms	58	$3,966	$5,999	$1,269 – $33,250
20	Healthcare Highways fee schedule · inpatient · +5 other terms	54	$18,287	$18,062	$14,272 – $19,087
21	Medicare facility · other · inpatient · +8 other terms	47	$11,566	$12,570	$1,935 – $31,243
22	First Health per diem · inpatient · +8 other terms	46	$2,398	$2,466	$1,250 – $9,500
23	Medica case rate · inpatient · +9 other terms	43	$21,111	$21,630	$6,287 – $51,791
24	Superior Healthplan fee schedule · inpatient · +2 other terms	43	$14,750	$15,711	$10,786 – $34,195
25	Medical Mutual fee schedule · inpatient · +9 other terms	38	$21,506	$21,503	$9,761 – $45,735

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