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California rates for MS-DRG 188

Pleural effusion w/o CC/MCC

Facilitymedian $17,783 · 10th–90th $9,333–$30,2000%10%10th90th$17,783$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
$8,511.38 / $16,595.87 / $31,622.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,232.93 / $17,782.79 / $30,199.52
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,128.31 / $12,022.64 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $14,791.08 / $25,703.96
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
$25,703.96 / $25,703.96 / $25,703.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,000.00 / $16,218.10 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $13,182.57 / $28,183.83