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.
Original text from hospital filings
MS-DRG 42.00: DIABETES WITH CC
Mesa, AZ
See all hospitals reporting MS-DRG 638 →Price type
Banner Heart Hospital’s median price of $7.2k is 22% below the median hospital's median price ($9.1k), higher than 21% of the 2,315 hospitals reporting MS-DRG 638. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna banner employee plans facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 2 | Aetna medicare advantage facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 3 | Bcbs Az medicare advantage facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 4 | Cigna hmo medicare advantage plans facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 5 | Cigna ppo medicare advantage plan facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 6 | Kaiser medicare advantage facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 7 | UnitedHealthcare uhc medicare advantage facility · fee schedule · inpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 8 | Humana medicare advantage facility · fee schedule · inpatient | $6.9k | $6.9k | $102 | 1% | — | $6.8k – $7.0k |
| 9 | Devoted medicare advantage facility · fee schedule · inpatient | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 10 | Aetna qualified health plan facility · fee schedule · inpatient | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 11 | UnitedHealthcare individual exchange facility · fee schedule · inpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 12 | Oscar commercial facility · fee schedule · inpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 13 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 14 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 15 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 16 | Bcbs Az bcbsaz workers comp facility · case rate · inpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 17 | Bcbs Az commercial facility · case rate · inpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 18 | Bcbs Az medicare supplemental senior preferred facility · case rate · inpatient | $19.2k | $19.2k | — | — | — | $19.2k – $19.2k |
| 19 | Aetna joint venture facility · case rate · inpatient | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 20 | Aetna designated group facility · case rate · inpatient | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 21 | UnitedHealthcare uhc doctor's plan facility · case rate · inpatient | $22.1k | $22.1k | — | — | — | $22.1k – $22.1k |
| 22 | UnitedHealthcare uhc core facility · case rate · inpatient | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 23 | UnitedHealthcare commercial facility · case rate · inpatient | $24.3k | $24.3k | — | — | — | $24.3k – $24.3k |
| 24 | Aetna broad network facility · case rate · inpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
| 25 | Cigna localflex facility · case rate · inpatient | $25.0k | $25.0k | — | — | — | $25.0k – $25.0k |
Last updated: Mar 2, 2026
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