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: NEONATE WITH OTHER SIGNIFICANT PROBLEMS
Mesa, AZ
See all hospitals reporting MS-DRG 794 →Price type
Banner Heart Hospital’s median price of $11.0k is 9% below the median hospital's median price ($12.1k), higher than 36% of the 2,163 hospitals reporting MS-DRG 794. 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 joint venture facility · per diem · inpatient | $2,046 | $2,046 | $2,046 – $2,046 |
| 2 | Aetna designated group facility · per diem · inpatient | $2,174 | $2,174 | $2,174 – $2,174 |
| 3 | Aetna broad network facility · per diem · inpatient | $2,558 | $2,558 | $2,558 – $2,558 |
| 4 | Bcbs Az bxbsaz neighborhood facility · case rate · inpatient | $6,251 | $6,251 | $6,251 – $6,251 |
| 5 | Bcbs Az bcbsaz alliance/blue hpn facility · case rate · inpatient | $6,668 | $6,668 | $6,668 – $6,668 |
| 6 | Bcbs Az bxbsaz alliance chs facility · case rate · inpatient | $7,001 | $7,001 | $7,001 – $7,001 |
| 7 | Bcbs Az bcbsaz workers comp facility · case rate · inpatient | $8,335 | $8,335 | $8,335 – $8,335 |
| 8 | Bcbs Az commercial facility · case rate · inpatient | $8,335 | $8,335 | $8,335 – $8,335 |
| 9 | Bcbs Az medicare supplemental senior preferred facility · case rate · inpatient | $8,335 | $8,335 | $8,335 – $8,335 |
| 10 | Aetna banner employee plans facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 11 | Aetna medicare advantage facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 12 | Bcbs Az medicare advantage facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 13 | Cigna hmo medicare advantage plans facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 14 | Cigna ppo medicare advantage plan facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 15 | Kaiser medicare advantage facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 16 | UnitedHealthcare uhc medicare advantage facility · fee schedule · inpatient | $10,962 | $10,962 | $10,962 – $10,962 |
| 17 | Humana medicare advantage facility · fee schedule · inpatient | $11,127 | $11,127 | $10,962 – $11,291 |
| 18 | Devoted medicare advantage facility · fee schedule · inpatient | $11,510 | $11,510 | $11,510 – $11,510 |
| 19 | Aetna qualified health plan facility · fee schedule · inpatient | $14,909 | $14,909 | $14,909 – $14,909 |
| 20 | UnitedHealthcare individual exchange facility · fee schedule · inpatient | $15,347 | $15,347 | $15,347 – $15,347 |
| 21 | Oscar commercial facility · fee schedule · inpatient | $18,088 | $18,088 | $18,088 – $18,088 |
| 22 | UnitedHealthcare uhc doctor's plan facility · case rate · inpatient | $35,584 | $35,584 | $35,584 – $35,584 |
| 23 | UnitedHealthcare uhc core facility · case rate · inpatient | $37,188 | $37,188 | $37,188 – $37,188 |
| 24 | UnitedHealthcare commercial facility · case rate · inpatient | $39,146 | $39,146 | $39,146 – $39,146 |
| 25 | Cigna localflex facility · case rate · inpatient | $40,210 | $40,210 | $40,210 – $40,210 |
Last updated: Mar 2, 2026
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