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California rates for MS-DRG 037

Extracranial Procedures With Mcc

Facilitymedian $87,096 · 10th–90th $16,982$120,2260%20%40%10th90th$87,096$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
$43,651.58 / $75,857.76 / $117,489.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,982.44 / $89,125.09 / $120,226.44
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $52,480.75 / $120,226.44
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$45,708.82 / $70,794.58 / $117,489.76
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $302.00
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117,489.76 / $117,489.76 / $117,489.76
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$46,773.51 / $85,113.80 / $134,896.29
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $57,543.99 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $61,659.50 / $114,815.36