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California rates for MS-DRG 163

Major chest procedures w MCC

Facilitymedian $147,911 · 10th–90th $54,954$181,9700%20%40%10th90th$147,911$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
$51,286.14 / $117,489.76 / $190,546.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64,565.42 / $147,910.84 / $162,181.01
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$41,686.94 / $79,432.82 / $181,970.09
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67,608.30 / $104,712.85 / $162,181.01
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
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
$64,565.42 / $114,815.36 / $181,970.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,128.61 / $89,125.09 / $173,780.08