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California rates for MS-DRG 197

Interstitial lung disease w CC

Facilitymedian $23,442 · 10th–90th $12,303–$40,7380%10%20%10th90th$23,442$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
$11,220.18 / $21,877.62 / $41,686.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $23,442.29 / $39,810.72
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $16,982.44 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,803.84 / $19,498.45 / $33,884.42
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
$33,884.42 / $33,884.42 / $33,884.42
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13,489.63 / $21,877.62 / $39,810.72
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $17,378.01 / $37,153.52