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California rates for MS-DRG 176

Pulmonary embolism w/o MCC

Facilitymedian $29,512 · 10th–90th $12,023$33,1130%20%10th90th$29,512$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
$10,471.29 / $20,892.96 / $33,884.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,498.45 / $30,199.52 / $31,622.78
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,549.93 / $18,197.01 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $18,620.87 / $32,359.37
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
$28,840.32 / $28,840.32 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $20,892.96 / $33,113.11
Sutter Health Plus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $18,620.87 / $18,620.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $16,218.10 / $31,622.78