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California rates for MS-DRG 175

Pulmonary embolism w MCC or acute cor pulmonale

Facilitymedian $34,674 · 10th–90th $17,783–$58,8840%10%20%10th90th$34,674$100.0$500.0$2.0K$10.0K$50.0K

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
$16,218.10 / $31,622.78 / $60,255.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $34,673.69 / $57,543.99
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,135.61 / $22,908.68 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $28,183.83 / $48,977.88
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
$48,977.88 / $48,977.88 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $31,622.78 / $57,543.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $25,118.86 / $53,703.18