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California rates for MS-DRG 173

Ultrasound accelerated & oth thrombolysis w PDX pulmonary embolism

Facilitymedian $63,096 · 10th–90th $11,749$128,8250%10%20%10th90th$63,096$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
$34,673.69 / $69,183.10 / $128,824.96
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $47,863.01 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43,651.58 / $61,659.50 / $107,151.93
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $288.40
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $67,608.30 / $120,226.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $54,954.09 / $117,489.76