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California rates for MS-DRG 031

Ventricular Shunt Procedures With Mcc

Facilitymedian $107,152 · 10th–90th $19,055–$151,3560%20%10th90th$107,152$100.0$500.0$2.0K$10.0K$50.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $93,325.43 / $144,543.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $109,647.82 / $151,356.12
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $64,565.42 / $158,489.32
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53,703.18 / $91,201.08 / $158,489.32
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $199.53 / $61,659.50
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$162,181.01 / $162,181.01 / $162,181.01
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56,234.13 / $102,329.30 / $162,181.01
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70,794.58 / $70,794.58 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $77,624.71 / $154,881.66